NPIMap

Organization Active NPI

Austin Pathology Associates

  • Dermatopathology Physician
  • San Antonio, TX
National Provider Identifier
1124312061
Registry record updated Jun 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatopathology PhysicianTaxonomy code 207ND0900X
Legal business name
AUSTIN PATHOLOGY ASSOCIATES
Practice address
1122 Austin Hwy
San Antonio, TX 78209-4844
Phone
(210) 342-6488
Fax
(210) 342-6725
NPI assigned
Jun 8, 2011
Last updated
Jun 8, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2011

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

Authorized official

Name
Phillip C. Collins, M.D.NPI 1972584035
Title
Secretary
Phone
(512) 324-7516

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatopathology Physician 207ND0900X NU Primary

Addresses

Primary practice location

1122 Austin Hwy
San Antonio, TX 78209-4844

Mailing address

8085 Rivers Ave
Suite 100
North Charleston, SC 29406-9239
Phone (843) 569-4076

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070207000471 TX Part B Supplier - Clinic/Group Practice 7012902539 Receives reassigned benefits from 104 practitioners
2 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: El Paso, TX; Georgetown, TX; Jacksonville, TX; Kingsville, TX; Longview, TX; Madisonville, TX; Marshall, TX; Navasota, TX…

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 13

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.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1307491200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1307491200000",
    "number": "1124312061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8085 RIVERS AVE",
            "address_2": "SUITE 100",
            "city": "NORTH CHARLESTON",
            "state": "SC",
            "postal_code": "294069239",
            "telephone_number": "843-569-4076",
            "fax_number": "770-666-9464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1122 AUSTIN HWY",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782094844",
            "telephone_number": "210-342-6488",
            "fax_number": "210-342-6725"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUSTIN PATHOLOGY ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-08",
        "last_updated": "2011-06-08",
        "status": "A",
        "authorized_official_last_name": "COLLINS",
        "authorized_official_first_name": "PHILLIP",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "512-324-7516",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207ND0900X",
            "taxonomy_group": "",
            "desc": "Dermatology, Dermatopathology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.