Organization Active NPI

Austin Interventional Pain and Wellness

  • Interventional Pain Medicine Physician
  • Georgetown, TX
National Provider Identifier
1124508841
Registry record updated Jan 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
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, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2020

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

Authorized official

Name
Devin PeckNPI 1861625428
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)CodeLicenseStatePrimary
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 Directory

Locations

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.

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

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.

Verify at the official NPI Registry.