Organization Active NPI

Lisa M. Jukes, MD, PA

  • Gynecology Physician
  • West Lake Hills, TX
National Provider Identifier
1073739090
Registry record updated May 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
License
K6767 Issued in TX
Legal business name
LISA M. JUKES, MD, PA
Practice address
5656 Bee Cave Rd
Suite B101
West Lake Hills, TX 78746-5280
Phone
(512) 301-6767
Fax
(512) 301-6776
NPI assigned
Apr 18, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 15, 2012

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

Authorized official

Name
Dr. Lisa Margaret Jukes, M.D.NPI 1912913666
Title
Owner, Physician
Phone
(512) 301-6767

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
Gynecology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207VG0400X K6767 TX Primary
Obstetrics PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207VX0000X K6767 TX

Addresses

Primary practice location

5656 Bee Cave Rd
Suite B101
West Lake Hills, TX 78746-5280

Mailing address

5656 Bee Cave Rd
Suite B101
West Lake Hills, TX 78746-5280
Phone (512) 301-6767

Other identifiers 3

IdentifierTypeStateIssuer
0008KPOtherTXBCBS GROUP
286813OtherTXSCOTT & WHITE
8K1560OtherTXBCBS INDIVIDUAL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D1022438Lisa M Jukes MD PA5656 Bee Cave Road Suite B101, Austin, TX 78746Provider-performed microscopyFeb 16, 2028

National Provider Directory

National Provider Directory

Locations

5508 W Highway 290
Ste 207
Austin, TX 78735
Phone (512) 301-6767

3944 Ranch Road 620 S
#208
Bee Cave, TX 78738

3944 Ranch Road 620 S
Ste 208
Bee Cave, TX 78738

5656 Bee Caves Rd
Ste B101
West Lake Hills, TX 78746
Phone (512) 301-6767

Practitioners & affiliated clinicians

Practitioners 7

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": "1176854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1337040000000",
    "number": "1073739090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5656 BEE CAVE RD",
            "address_2": "SUITE B101",
            "city": "WEST LAKE HILLS",
            "state": "TX",
            "postal_code": "787465280",
            "telephone_number": "512-301-6767",
            "fax_number": "512-301-6776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5656 BEE CAVE RD",
            "address_2": "SUITE B101",
            "city": "WEST LAKE HILLS",
            "state": "TX",
            "postal_code": "787465280",
            "telephone_number": "512-301-6767",
            "fax_number": "512-301-6776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LISA M. JUKES, MD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-18",
        "last_updated": "2012-05-15",
        "status": "A",
        "authorized_official_last_name": "JUKES",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "MARGARET",
        "authorized_official_title_or_position": "OWNER, PHYSICIAN",
        "authorized_official_telephone_number": "512-301-6767",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "TX",
            "license": "K6767",
            "primary": true
        },
        {
            "code": "207VX0000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology, Obstetrics",
            "state": "TX",
            "license": "K6767",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS GROUP",
            "identifier": "0008KP",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SCOTT & WHITE",
            "identifier": "286813",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS INDIVIDUAL",
            "identifier": "8K1560",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Lake Hills, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.