Active NPI
Marco Antonio Jurado, AU.D.
- Audiologist
- Austin, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 30809
- Practice address
- 6811 Austin Center Blvd Ste 300
Austin, TX 78731-3295 - Phone
- (512) 346-8888
- NPI assigned
- Feb 17, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | 30809 | OR | Primary |
Addresses
Primary practice location
6811 Austin Center Blvd Ste 300
Austin, TX 78731-3295
Mailing address
6210 E Highway 290
Austin, TX 78723-1142
Other practice location 1
3181 SW Sam Jackson Park Rd
Physicians Pavilion, Ste 250
Portland, OR 97239-3011
Phone (503) 494-5171
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 378876201 | Medicaid | TX | |
| 378876202 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Audiologist
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
6835 Austin Ctr Blvd
Austin, TX 78731-3166
Phone (512) 346-6611
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 30809 | OR | MD | Audiologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Austin Regional Clinic, PA | Current | Accepting new patients | |
| Austin Regional Clinic, PA | Current | Accepting new patients |
Locations
6811 Austin Center Blvd
Ste 300
Austin, TX 78731
Phone (512) 346-8888
6210 E Highway 290
Austin, TX 78723
6835 Austin Center Blvd
Austin, TX 78731
Phone (512) 231-5210
4515 Seton Center Pkwy
Ste 215
Austin, TX 78759
Phone (512) 338-3802
151 Exchange Blvd
Ste 500
Hutto, TX 78634
Phone (512) 846-1244
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
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- NPI 1235746413
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1424131200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1620172800000",
"number": "1215328869",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6210 E HIGHWAY 290",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787231142"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6811 AUSTIN CENTER BLVD STE 300",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787313295",
"telephone_number": "512-346-8888"
}
],
"practiceLocations": [
{
"address_1": "3181 SW Sam Jackson Park Rd",
"address_2": "Physicians Pavilion, Ste 250",
"address_purpose": "LOCATION",
"city": "Portland",
"state": "OR",
"postal_code": "972393011",
"country_code": "US",
"telephone_number": "503-494-5171",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JURADO",
"first_name": "MARCO",
"middle_name": "ANTONIO",
"credential": "AU.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-02-17",
"last_updated": "2021-05-05",
"certification_date": "2021-05-05",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "OR",
"license": "30809",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "378876201",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "378876202",
"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 May 5, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.