Organization Active NPI

Premier Gynecology of Austin

Doing business as Premier Integrative Health

  • Acupuncturist
  • Austin, TX
National Provider Identifier
1215204540
Registry record updated Dec 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
Legal business name
PREMIER GYNECOLOGY OF AUSTIN
Doing business as
Premier Integrative Health
Practice address
1010 W 9TH St
Austin, TX 78703-4924
Phone
(512) 459-4405
NPI assigned
Dec 1, 2011
Last updated
Dec 1, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2011

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

Authorized official

Name
Screven Edgerton, MD
Title
Medical Director
Phone
(512) 459-4405

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X NU Primary
Gynecology Physician 207VG0400X NU

Addresses

Primary practice location

1010 W 9TH St
Austin, TX 78703-4924

Mailing address

1010 W 9TH St
Austin, TX 78703-4924
Phone (512) 459-4405

Other names 1

  • Premier Integrative Health Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Premier Gynecology2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1322697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1322697600000",
    "number": "1215204540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 W 9TH ST",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787034924",
            "telephone_number": "512-459-4405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 W 9TH ST",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787034924",
            "telephone_number": "512-459-4405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER GYNECOLOGY OF AUSTIN",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-01",
        "last_updated": "2011-12-01",
        "status": "A",
        "authorized_official_last_name": "EDGERTON",
        "authorized_official_first_name": "SCREVEN",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "512-459-4405",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Premier Integrative Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Dec 1, 2011; 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.