NPIMap

Organization Active NPI

Steven K. Booton, M.D., P.a.

  • Internal Medicine Physician
  • Austin, TX
National Provider Identifier
1063774602
Registry record updated Aug 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
G4844 Issued in TX
Legal business name
STEVEN K. BOOTON, M.D., P.A.
Practice address
720 W 34TH St
Suite 100
Austin, TX 78705-1205
Phone
(512) 381-5599
Fax
(512) 323-0307
NPI assigned
Jun 11, 2012
Last updated
Aug 19, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2013

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

Authorized official

Name
Steven K. Booton, M.D.NPI 1093740987
Title
Owner
Phone
(512) 381-5599

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X G4844 TX Primary
Geriatric Medicine (Internal Medicine) Physician 207RG0300X G4844 TX

Addresses

Primary practice location

720 W 34TH St
Suite 100
Austin, TX 78705-1205

Mailing address

720 W 34TH St
Suite 100
Austin, TX 78705-1205
Phone (512) 381-5599

Other identifiers 2

IdentifierTypeStateIssuer
0045XVOtherTXBCBS
311637801MedicaidTX

National Provider Directory

National Provider Directory

Locations

720 W 34th St
Ste 100
Austin, TX 78705
Phone (512) 381-5599

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1339372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1376870400000",
    "number": "1063774602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "720 W 34TH ST",
            "address_2": "SUITE 100",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787051205",
            "telephone_number": "512-381-5599",
            "fax_number": "512-323-0307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 W 34TH ST",
            "address_2": "SUITE 100",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787051205",
            "telephone_number": "512-381-5599",
            "fax_number": "512-323-0307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEVEN K. BOOTON, M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-11",
        "last_updated": "2013-08-19",
        "status": "A",
        "authorized_official_last_name": "BOOTON",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "K.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "512-381-5599",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "G4844",
            "primary": true
        },
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "TX",
            "license": "G4844",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0045XV",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "311637801",
            "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 Aug 19, 2013; 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.