Organization Active NPI

F5 Surgical of Texas PLLC

  • Surgery Physician
  • Austin, TX
National Provider Identifier
1043636657
Registry record updated Jan 29, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
Q1622 Issued in TX
Legal business name
F5 SURGICAL OF TEXAS PLLC
Practice address
2028 E Ben White Blvd
Suite 240-5425
Austin, TX 78741-6931
Phone
(770) 676-7398
Fax
(404) 855-4243
NPI assigned
Mar 7, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
David Hayes, MD
Title
Ceo
Phone
(770) 676-7398

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208600000X Q1622 TX Primary

Addresses

Primary practice location

2028 E Ben White Blvd
Suite 240-5425
Austin, TX 78741-6931

Mailing address

PO Box 744365
Atlanta, GA 30374-4365
Phone (770) 676-7398

National Provider Directory

National Provider Directory

Locations

2028 E Ben White Blvd
Ste 2405425
Austin, TX 78741
Phone (770) 676-7398

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1394150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1517184000000",
    "number": "1043636657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 744365",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303744365",
            "telephone_number": "770-676-7398",
            "fax_number": "404-855-4243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2028 E BEN WHITE BLVD",
            "address_2": "SUITE 240-5425",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787416931",
            "telephone_number": "770-676-7398",
            "fax_number": "404-855-4243"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "F5 SURGICAL OF TEXAS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-07",
        "last_updated": "2018-01-29",
        "status": "A",
        "authorized_official_last_name": "HAYES",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "770-676-7398",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": "TX",
            "license": "Q1622",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.