Active NPI
Austin Interventional Pain and Wellness
- Interventional Pain Medicine Physician
- Georgetown, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Pain Medicine Physician
- Legal business name
- AUSTIN INTERVENTIONAL PAIN AND WELLNESS
- Practice address
- 1900 Scenic Dr Ste 1108
Georgetown, TX 78626-7724 - Phone
- (512) 400-4195
- Fax
- (512) 287-5563
- NPI assigned
- Aug 21, 2018
- Last updated
- Jan 22, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Devin Peck
- Title
- MD
- Phone
- (972) 503-6863
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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine (Physical Medicine & Rehabilitation) Physician | 2081P2900X | NU | ||
| Interventional Pain Medicine Physician | 208VP0014X | NU | Primary |
Addresses
Primary practice location
1900 Scenic Dr Ste 1108
Georgetown, TX 78626-7724
Mailing address
PO Box 674029
Dallas, TX 75267-4029
Phone (512) 400-4195
Other practice location 1
715 Discovery Blvd Ste 102
Cedar Park, TX 78613-2294
Phone (512) 400-4195
Other practice location 2
12309 N Mopac Expy Ste 125
Austin, TX 78758-2577
Phone (512) 400-4195
National Provider Directory
National Provider DirectoryLocations
10109 Lake Creek Pkwy
Austin, TX 78729
12309 N Mopac Expy
Ste 125
Austin, TX 78758
Phone (512) 206-8000
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.
-
- Interventional Pain Medicine Physician
- Georgetown, TX
- NPI 1861625428
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1534809600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1579651200000",
"number": "1124508841",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 674029",
"city": "DALLAS",
"state": "TX",
"postal_code": "752674029",
"telephone_number": "512-400-4195",
"fax_number": "512-287-5563"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1900 SCENIC DR STE 1108",
"city": "GEORGETOWN",
"state": "TX",
"postal_code": "786267724",
"telephone_number": "512-400-4195",
"fax_number": "512-287-5563"
}
],
"practiceLocations": [
{
"address_1": "715 Discovery Blvd Ste 102",
"address_purpose": "LOCATION",
"city": "Cedar Park",
"state": "TX",
"postal_code": "786132294",
"country_code": "US",
"telephone_number": "512-400-4195",
"fax_number": "512-287-5563",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "12309 N Mopac Expy Ste 125",
"address_purpose": "LOCATION",
"city": "Austin",
"state": "TX",
"postal_code": "787582577",
"country_code": "US",
"telephone_number": "512-400-4195",
"fax_number": "512-287-5563",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "AUSTIN INTERVENTIONAL PAIN AND WELLNESS",
"organizational_subpart": "NO",
"enumeration_date": "2018-08-21",
"last_updated": "2020-01-22",
"certification_date": "2020-01-22",
"status": "A",
"authorized_official_last_name": "PECK",
"authorized_official_first_name": "DEVIN",
"authorized_official_title_or_position": "MD",
"authorized_official_telephone_number": "972-503-6863"
},
"taxonomies": [
{
"code": "2081P2900X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation, Pain Medicine",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "208VP0014X",
"taxonomy_group": "",
"desc": "Pain Medicine, Interventional Pain Medicine",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Georgetown, TX
- Jodie Aukerman, LCSW
- Aumxasa (OT World)
- Austin Acupuncture & Integrative Medicine
- Austin Avenue Chiropractic LLC
- Austin Dermpath Associates
- Austin Medical Group,PLLC (Copper Ridge Medical Clinic)
- Austin Neurosurgical and Spine Institute, PA
- Austin Physician Alliance Group
- Austin Regional Clinic, PA (ARC - Georgetown)
- Austin's Doula Collective LLC (ATX Doulas)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.