Theophilus S Painter Jr MD PA

Primary specialty

Allergy & Immunology PhysicianTaxonomy code 207K00000X

License

B9692 Issued in TX

Legal business name

THEOPHILUS S PAINTER JR MD PA

Practice address

800 W 34TH St
Austin, TX 78705-1143

Phone

(512) 454-5821

Fax

(512) 260-8831

NPI assigned

Dec 28, 2007

Organization subpart

No

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

Authorized official

Name

Jane Gatlin

Title

Billing MGR

Phone

(512) 259-9595

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1198800000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1198800000000",
    "number": "1104000983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 302186",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787030037",
            "telephone_number": "512-454-5821",
            "fax_number": "512-260-8831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 W 34TH ST",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787051143",
            "telephone_number": "512-454-5821",
            "fax_number": "512-260-8831"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THEOPHILUS S PAINTER JR MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-28",
        "last_updated": "2007-12-28",
        "status": "A",
        "authorized_official_last_name": "GATLIN",
        "authorized_official_first_name": "JANE",
        "authorized_official_title_or_position": "BILLING MGR",
        "authorized_official_telephone_number": "512-259-9595"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Allergy & Immunology",
            "state": "TX",
            "license": "B9692",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "127396303",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kristen Theis, LPC
• Laura Helen Theis, FNP-BC
• Thekey of Texas, LLC
• Taylor Nicole Theobald, MAT, LAT, ATC
• Corina Theodosis
• April L Thepsoumane, PA-C
• Thera Inc.
• Theracare Home Health of Austin, LLC
• Therapeutic Compassion, PLLC
• Therapeutic Dimensions, PLLC

• Allergy & Immunology Physician in Austin, TX
• Providers in Austin, TX by specialty
• Allergy & Immunology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2007; 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.