Greater Austin Urology, PLLC

Primary specialty

Urology PhysicianTaxonomy code 208800000X

Legal business name

GREATER AUSTIN UROLOGY, PLLC

Practice address

11673 Jollyville Rd Ste B101
Austin, TX 78759

Phone

(512) 540-3937

NPI assigned

Dec 15, 2017

Last updated

May 29, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Lucas Jacomides, MD

Title

Owner/Principal

Phone

(512) 540-3937

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1513296000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1527552000000",
    "number": "1215443064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17220 CRESCENT HEIGHTS TRL",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787172962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11673 JOLLYVILLE RD STE B101",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "78759",
            "telephone_number": "512-540-3937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREATER AUSTIN UROLOGY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-15",
        "last_updated": "2018-05-29",
        "status": "A",
        "authorized_official_last_name": "JACOMIDES",
        "authorized_official_first_name": "LUCAS",
        "authorized_official_title_or_position": "OWNER/PRINCIPAL",
        "authorized_official_telephone_number": "512-540-3937",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Urology Physician in Austin, TX
• Providers in Austin, TX by specialty
• Urology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2018; 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.