Organization Active NPI

Mikeal Love, M.D, PA

  • Obstetrics & Gynecology Physician
  • Austin, TX
National Provider Identifier
1093909491
Registry record updated Jul 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
H7322 Issued in TX
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

Updated by the provider on Jul 29, 2016

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)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
00000033QNOtherTXBCBS
292934101MedicaidTX
TXB118820OtherTXMEDICARE PTAN
8AJ644OtherTXBCBS INDIV

National Provider Directory

National Provider Directory

Locations

900 E 30th St
Ste 107
Austin, TX 78705
Phone (512) 476-9699

Interoperability endpoints

  • FHIR API: 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.

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.

Verify at the official NPI Registry.