Organization Active NPI

Georgeta Varga MD Parkinson Disease Movement Disorders Clinic PLLC

  • Neurology Physician
  • Austin, TX
National Provider Identifier
1053665323
Registry record updated Jun 29, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
Legal business name
GEORGETA VARGA MD PARKINSON DISEASE MOVEMENT DISORDERS CLINIC PLLC
Practice address
3001 Bee Cave Rd Ste 210
Austin, TX 78746-5590
Phone
(512) 900-2477
Fax
(512) 900-2478
NPI assigned
Nov 7, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2015

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

Authorized official

Name
Mariana Georgeta Varga, MDNPI 1962542225
Title
President
Phone
(512) 900-2477

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Neuromuscular Medicine (Physical Medicine & Rehabilitation) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2081N0008X
Behavioral Neurology & Neuropsychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084B0040X
Neuromuscular Medicine (Psychiatry & Neurology) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084N0008X
Neurology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084N0400X Primary

Addresses

Primary practice location

3001 Bee Cave Rd Ste 210
Austin, TX 78746-5590

Mailing address

PO Box 11824
Belfast, ME 04915-4009
Phone (512) 900-2477

Other identifiers 1

IdentifierTypeStateIssuer
0090YGOtherTXBCBS OF TEXAS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130124000466 TX Part B Supplier - Clinic/Group Practice 6305090408 Receives reassigned benefits from 1 practitioner
Practice locations: Austin, TX; Round Rock, TX

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1352246400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1435536000000",
    "number": "1053665323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11824",
            "city": "BELFAST",
            "state": "ME",
            "postal_code": "049154009",
            "telephone_number": "512-900-2477",
            "fax_number": "512-900-2478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3001 BEE CAVE RD STE 210",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787465590",
            "telephone_number": "512-900-2477",
            "fax_number": "512-900-2478"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEORGETA VARGA MD PARKINSON DISEASE MOVEMENT DISORDERS CLINIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-07",
        "last_updated": "2015-06-29",
        "status": "A",
        "authorized_official_last_name": "VARGA",
        "authorized_official_first_name": "MARIANA",
        "authorized_official_middle_name": "GEORGETA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "512-900-2477",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2081N0008X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation, Neuromuscular Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084B0040X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Behavioral Neurology & Neuropsychiatry",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084N0008X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Neuromuscular Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF TEXAS",
            "identifier": "0090YG",
            "state": "TX"
        }
    ],
    "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 Jun 29, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.