Active NPI
Parkinsons Restless Legs & Movement Disorder Specialists PLLC
- Neurology Physician
- Austin, TX
National Provider Identifier
1174121586
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- Legal business name
- PARKINSONS RESTLESS LEGS & MOVEMENT DISORDER SPECIALISTS PLLC
- Practice address
- 6618 Sitio del Rio Blvd Ste D102
Austin, TX 78730-1148 - Phone
- (512) 241-1567
- Fax
- (512) 241-1685
- NPI assigned
- Oct 16, 2020
- Last updated
- Mar 23, 2022
- 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
- Shelley McGahey
- Title
- Practice Manager
- Phone
- (512) 241-1567
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | NU | Primary | |
| Clinical Neurophysiology Physician | 2084N0600X | NU |
Addresses
Primary practice location
6618 Sitio del Rio Blvd Ste D102
Austin, TX 78730-1148
Mailing address
6618 Sitio del Rio Blvd Ste D102
Austin, TX 78730-1148
Phone (512) 241-1567
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 314993207 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & 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.
-
- Neurology Physician
- Austin, TX
- NPI 1215190244
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1602806400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1647993600000",
"number": "1174121586",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6618 SITIO DEL RIO BLVD STE D102",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787301148",
"telephone_number": "512-241-1567",
"fax_number": "512-241-1685"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6618 SITIO DEL RIO BLVD STE D102",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787301148",
"telephone_number": "512-241-1567",
"fax_number": "512-241-1685"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PARKINSONS RESTLESS LEGS & MOVEMENT DISORDER SPECIALISTS PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-10-16",
"last_updated": "2022-03-23",
"certification_date": "2022-01-14",
"status": "A",
"authorized_official_last_name": "MCGAHEY",
"authorized_official_first_name": "SHELLEY",
"authorized_official_title_or_position": "PRACTICE MANAGER",
"authorized_official_telephone_number": "512-241-1567"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "2084N0600X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Clinical Neurophysiology",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "314993207",
"state": "TX"
}
],
"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 Mar 23, 2022; 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.