Organization Active NPI

Austin Area Obstetrics, Gynecology & Fertility

  • Obstetrics & Gynecology Physician
  • Austin, TX
National Provider Identifier
1184632986
Registry record updated Jun 22, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
Legal business name
AUSTIN AREA OBSTETRICS, GYNECOLOGY & FERTILITY
Practice address
12200 Renfert Way
Suite 100
Austin, TX 78758-5614
Phone
(512) 451-8211
Fax
(512) 452-4095
NPI assigned
Aug 4, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2009

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

Authorized official

Name
Mr. John F Moore
Title
Administrator
Phone
(512) 533-4177

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207V00000X Primary

Addresses

Primary practice location

12200 Renfert Way
Suite 100
Austin, TX 78758-5614

Mailing address

12200 Renfert Way
Suite 100
Austin, TX 78758-5614
Phone (512) 451-8211

Other identifiers 1

IdentifierTypeStateIssuer
083975503MedicaidTX

Other names 1

  • Brumley, Akin, Seeker, Phillips, Uribe, PA Former legal business name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1154649600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1245628800000",
    "number": "1184632986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12200 RENFERT WAY",
            "address_2": "SUITE 100",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787585614",
            "telephone_number": "512-451-8211",
            "fax_number": "512-452-4095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12200 RENFERT WAY",
            "address_2": "SUITE 100",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787585614",
            "telephone_number": "512-451-8211",
            "fax_number": "512-452-4095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUSTIN AREA OBSTETRICS, GYNECOLOGY & FERTILITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-04",
        "last_updated": "2009-06-22",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "512-533-4177",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "083975503",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brumley, Akin, Seeker, Phillips, Uribe, PA",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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 Jun 22, 2009; 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.