Organization Active NPI

Pippen Health of Kansas, P.a.

  • Internal Medicine Physician
  • Austin, TX
National Provider Identifier
1164249553
Registry record updated Sep 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
PIPPEN HEALTH OF KANSAS, P.A.
Practice address
1023 Springdale Rd Ste 13a
Austin, TX 78721-2465
Phone
(512) 270-0190
Fax
(888) 722-4690
NPI assigned
Sep 25, 2024
Last updated
Sep 25, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2024

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

Authorized official

Name
Jon Larson, MD
Title
Medical Director
Phone
(512) 270-0190

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X Primary

Addresses

Primary practice location

1023 Springdale Rd Ste 13a
Austin, TX 78721-2465

Mailing address

1023 Springdale Rd Ste 13a
Austin, TX 78721-2465
Phone (512) 270-0190

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1727222400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727222400000",
    "number": "1164249553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1023 SPRINGDALE RD STE 13A",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787212465",
            "telephone_number": "512-270-0190",
            "fax_number": "888-722-4690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1023 SPRINGDALE RD STE 13A",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787212465",
            "telephone_number": "512-270-0190",
            "fax_number": "888-722-4690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PIPPEN HEALTH OF KANSAS, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-25",
        "last_updated": "2024-09-25",
        "certification_date": "2024-09-25",
        "status": "A",
        "authorized_official_last_name": "LARSON",
        "authorized_official_first_name": "JON",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "512-270-0190",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "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 Sep 25, 2024; 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.