Organization Active NPI

Matthew F McCarty MD PLLC

  • Clinical Medical Laboratory
  • Austin, TX
National Provider Identifier
1093264855
Registry record updated Sep 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
45D188237 Issued in TX
Legal business name
MATTHEW F MCCARTY MD PLLC
Practice address
4544 S Lamar Blvd
Ste 700
Austin, TX 78745-1500
Phone
(512) 834-4141
Fax
(512) 834-4142
NPI assigned
Sep 22, 2016
Last updated
Sep 22, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2016

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

Authorized official

Name
Lauri Rose, MBA, CASC
Title
Chief Administrator
Phone
(512) 600-6620

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 45D188237 TX Primary

Addresses

Primary practice location

4544 S Lamar Blvd
Ste 700
Austin, TX 78745-1500

Mailing address

4544 S Lamar Blvd
Ste 700
Austin, TX 78745-1500
Phone (512) 834-4141

Other names 1

  • Balcones Pain Consultants Lab Other name

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
45D2181040Tricity Pain Associates, PA4544 S Lamar Blvd BLDG 700, Suite 740, Austin, TX 78745Certificate of waiverMar 24, 2028

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, 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": "1474502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1474502400000",
    "number": "1093264855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4544 S LAMAR BLVD",
            "address_2": "STE 700",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787451500",
            "telephone_number": "512-834-4141",
            "fax_number": "512-834-4142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4544 S LAMAR BLVD",
            "address_2": "STE 700",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787451500",
            "telephone_number": "512-834-4141",
            "fax_number": "512-834-4142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATTHEW F MCCARTY MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-22",
        "last_updated": "2016-09-22",
        "status": "A",
        "authorized_official_last_name": "ROSE",
        "authorized_official_first_name": "LAURI",
        "authorized_official_title_or_position": "CHIEF ADMINISTRATOR",
        "authorized_official_telephone_number": "512-600-6620",
        "authorized_official_credential": "MBA, CASC"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "TX",
            "license": "45D188237",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Balcones Pain Consultants Lab",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Sep 22, 2016; 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.