NPIMap

Organization Active NPI

Pediatrics at the Hamptons

Doing business as Dr. Angela Odom Austin

  • Pediatrics Physician
  • Hampton, VA
National Provider Identifier
1114162476
Registry record updated Oct 3, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
PEDIATRICS AT THE HAMPTONS
Doing business as
Dr. Angela Odom Austin
Practice address
410B Marcella Rd
Hampton, VA 23666-2487
Phone
(757) 247-1111
Fax
(757) 825-5740
NPI assigned
Dec 15, 2008
Last updated
Oct 3, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2012

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

Authorized official

Name
Dr. Angela Denise Odom Austin, MDNPI 1437180072
Title
Physician
Phone
(757) 247-1111

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
Pediatrics Physician 208000000X NU Primary

Addresses

Primary practice location

410B Marcella Rd
Hampton, VA 23666-2487

Mailing address

410 Marcella Rd
B
Hampton, VA 23666-2487
Phone (757) 247-1111

Other identifiers 1

IdentifierTypeStateIssuer
006754406MedicaidVA

Other names 1

  • DR. ANGELA ODOM AUSTIN Doing business as

National Provider Directory

National Provider Directory

Locations

410 Marcella Rd
#B
Hampton, VA 23666

410B Marcella Rd
Hampton, VA 23666
Phone (757) 247-1111

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": "1229299200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1349222400000",
    "number": "1114162476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 MARCELLA RD",
            "address_2": "B",
            "city": "HAMPTON",
            "state": "VA",
            "postal_code": "236662487",
            "telephone_number": "757-247-1111",
            "fax_number": "757-825-5740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410B MARCELLA RD",
            "city": "HAMPTON",
            "state": "VA",
            "postal_code": "236662487",
            "telephone_number": "757-247-1111",
            "fax_number": "757-825-5740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRICS AT THE HAMPTONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-15",
        "last_updated": "2012-10-03",
        "status": "A",
        "authorized_official_last_name": "ODOM AUSTIN",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_middle_name": "DENISE",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "757-247-1111",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "006754406",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DR. ANGELA ODOM AUSTIN",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hampton, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2012; 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.