Organization Active NPI

Az Medical PLLC

  • General Practice Physician
  • Austin, TX
National Provider Identifier
1093558314
Registry record updated Jun 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
AZ MEDICAL PLLC
Practice address
919 Congress Ave Ste 525
Austin, TX 78701-2163
Phone
(512) 522-0966
Fax
(828) 318-4985
NPI assigned
Jun 14, 2024
Last updated
Jun 14, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2024

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

Authorized official

Name
Dr. Daniel Stickler, MDNPI 1346295698
Title
Member
Phone
(512) 560-3694

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X NU Primary

Addresses

Primary practice location

919 Congress Ave Ste 525
Austin, TX 78701-2163

Mailing address

919 Congress Ave Ste 525
Austin, TX 78701-2163
Phone (512) 560-3694

National Provider Directory

National Provider Directory

Locations

919 Congress Ave
Ste 525
Austin, TX 78701
Phone (512) 522-0966

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": "1718323200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718323200000",
    "number": "1093558314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "919 CONGRESS AVE STE 525",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787012163",
            "telephone_number": "512-560-3694",
            "fax_number": "512-560-3694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "919 CONGRESS AVE STE 525",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787012163",
            "telephone_number": "512-522-0966",
            "fax_number": "828-318-4985"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AZ MEDICAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-14",
        "last_updated": "2024-06-14",
        "certification_date": "2024-06-14",
        "status": "A",
        "authorized_official_last_name": "STICKLER",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "512-560-3694",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NU",
            "license": null,
            "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 Jun 14, 2024; 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.