Active NPI
Thomas Edward Austin, MD
- General Practice Physician
- Princeville, HI
National Provider Identifier
1215915632
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- G19445
- Practice address
- 4141 Queen Emmas Dr
Princeville, HI 96722-5541 - Phone
- (808) 652-2262
- Fax
- (808) 652-2262
- NPI assigned
- Jan 5, 2006
- Last updated
- Mar 6, 2020
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | G19445 | CA | Primary |
Addresses
Primary practice location
4141 Queen Emmas Dr
Princeville, HI 96722-5541
Mailing address
PO Box 223764
Princeville, HI 96722-3764
Phone (808) 652-2262
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 202003000 | Other | NM | PRESBYTERIAN HEALTH/SALUD |
| 16725 | Medicaid | NM | |
| 10002034 | Other | NM | LOVELACE HEALTH/SALUD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G19445 | CA | MD | General Practice Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lima Memorial Joint Operating Company | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Lima Memorial Health System
- General Acute Care Hospital
- Lima, OH
- NPI 1336144732
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1136419200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1583452800000",
"number": "1215915632",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 223764",
"city": "PRINCEVILLE",
"state": "HI",
"postal_code": "967223764",
"telephone_number": "808-652-2262",
"fax_number": "888-373-9886"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4141 QUEEN EMMAS DR",
"city": "PRINCEVILLE",
"state": "HI",
"postal_code": "967225541",
"telephone_number": "808-652-2262",
"fax_number": "808-652-2262"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AUSTIN",
"first_name": "THOMAS",
"middle_name": "EDWARD",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-01-05",
"last_updated": "2020-03-06",
"certification_date": "2020-03-06",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "CA",
"license": "G19445",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PRESBYTERIAN HEALTH/SALUD",
"identifier": "202003000",
"state": "NM"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "16725",
"state": "NM"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LOVELACE HEALTH/SALUD",
"identifier": "10002034",
"state": "NM"
}
],
"endpoints": [],
"other_names": []
}Other providers in Princeville, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.