Individual provider Active NPI

Marsha Ann Staats, M.D.

  • Internal Medicine Physician
  • Austin, TX
National Provider Identifier
1124410576
Registry record updated Feb 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
G6876 Issued in TX
Practice address
2311 Island Wood Rd
Austin, TX 78733-2117
Phone
(512) 263-9234
Fax
(512) 263-4210
NPI assigned
Feb 23, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 23, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X G6876 TX Primary

Addresses

Primary practice location

2311 Island Wood Rd
Austin, TX 78733-2117

Mailing address

2311 Island Wood Rd
Austin, TX 78733-2117
Phone (512) 263-9234

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
G6876TXMDInternal Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1424649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1424649600000",
    "number": "1124410576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2311 ISLAND WOOD RD",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787332117",
            "telephone_number": "512-263-9234",
            "fax_number": "512-263-4210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2311 ISLAND WOOD RD",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787332117",
            "telephone_number": "512-263-9234",
            "fax_number": "512-263-4210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STAATS",
        "first_name": "MARSHA",
        "middle_name": "ANN",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-02-23",
        "last_updated": "2015-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "G6876",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Feb 23, 2015; 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.