Active NPI
Premier Gynecology of Austin
Doing business as Premier Integrative Health
- Acupuncturist
- Austin, TX
National Provider Identifier
1215204540
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- 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, 2011
- 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
- Screven Edgerton, MD
- Title
- Medical Director
- Phone
- (512) 459-4405
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider Directory- Tax ID family
- Premier Gynecology
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
- Premieant Inc
- Premient Inc
- Premier ABA LLC
- Premier Ambulatory Surgery of Austin LLP (South Austin Surgery Center)
- Premier Eye Care, PA
- Premier Gynecology of Austin (Premier Gynecology)
- Premier Hospitalists of Austin
- Premier Podiatry (Premier Podiatry, PLLC.)
- Premier Provider Health PA
- Premiere Hospitalists of Austin PLLC
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.