Active NPI
Mikeal Love, M.D, PA
- Obstetrics & Gynecology Physician
- Austin, TX
National Provider Identifier
1093909491
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- H7322
- Legal business name
- MIKEAL LOVE, M.D, PA
- Practice address
- 900 E 30TH St
Suite 211
Austin, TX 78705-3326 - Phone
- (512) 476-9699
- Fax
- (512) 367-5799
- NPI assigned
- Aug 29, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mikeal Robert Love, M.D.
- Title
- President
- Phone
- (512) 476-9699
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | H7322 | TX | Primary |
Addresses
Primary practice location
900 E 30TH St
Suite 211
Austin, TX 78705-3326
Mailing address
900 E 30TH St
Suite 211
Austin, TX 78705-3326
Phone (512) 476-9699
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00000033QN | Other | TX | BCBS |
| 292934101 | Medicaid | TX | |
| TXB118820 | Other | TX | MEDICARE PTAN |
| 8AJ644 | Other | TX | BCBS INDIV |
National Provider Directory
National Provider DirectoryLocations
900 E 30th St
Ste 107
Austin, TX 78705
Phone (512) 476-9699
Interoperability endpoints
- https://api.platform.athenahealth.com/11541/brand/55/csg/721/fhir/r4
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Obstetrics & Gynecology Physician
- Marble Falls, TX
- NPI 1811946346
-
- Obstetrics & Gynecology Physician
- Austin, TX
- NPI 1962476762
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1188345600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1469750400000",
"number": "1093909491",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "900 E 30TH ST",
"address_2": "SUITE 211",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787053326",
"telephone_number": "512-476-9699",
"fax_number": "512-367-5799"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "900 E 30TH ST",
"address_2": "SUITE 211",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787053326",
"telephone_number": "512-476-9699",
"fax_number": "512-367-5799"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MIKEAL LOVE, M.D, PA",
"organizational_subpart": "NO",
"enumeration_date": "2007-08-29",
"last_updated": "2016-07-29",
"status": "A",
"authorized_official_last_name": "LOVE",
"authorized_official_first_name": "MIKEAL",
"authorized_official_middle_name": "ROBERT",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "512-476-9699",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology",
"state": "TX",
"license": "H7322",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "00000033QN",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "292934101",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "TXB118820",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS INDIV",
"identifier": "8AJ644",
"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 Jul 29, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.