Active NPI
Marilyn Mae Doyle, M.D.
- Pediatrics Physician
- Austin, TX
National Provider Identifier
1215980032
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- F4024
- Practice address
- 313 E 12TH St
Ste 104
Austin, TX 78701-1954 - Phone
- (409) 772-2222
- Fax
- (409) 772-0885
- NPI assigned
- May 19, 2006
- Last updated
- Mar 19, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | F4024 | TX | Primary |
| Pediatric Infectious Diseases Physician | 2080P0208X | F4024 | TX |
Addresses
Primary practice location
313 E 12TH St
Ste 104
Austin, TX 78701-1954
Mailing address
301 University Blvd
Provider Enrollment, RT. 1022
Galveston, TX 77555-5302
Phone (409) 747-0890
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 |
|---|---|---|---|
| F4024 | TX | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| City of Austin | Past | Accepting new patients | |
| Utmb Austin - Initiatives | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba City of Austin Office of Chief Medical Officer
- Emergency Medical Services (Emergency Medicine) Physician
- Austin, TX
- NPI 1083245070
-
- Multi-Specialty Clinic/Center
- Austin, TX
- NPI 1427099506
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147996800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1237420800000",
"number": "1215980032",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "301 UNIVERSITY BLVD",
"address_2": "PROVIDER ENROLLMENT, RT. 1022",
"city": "GALVESTON",
"state": "TX",
"postal_code": "775555302",
"telephone_number": "409-747-0890",
"fax_number": "409-772-0885"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "313 E 12TH ST",
"address_2": "STE 104",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787011954",
"telephone_number": "409-772-2222",
"fax_number": "409-772-0885"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOYLE",
"first_name": "MARILYN",
"middle_name": "MAE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-19",
"last_updated": "2009-03-19",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "TX",
"license": "F4024",
"primary": true
},
{
"code": "2080P0208X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Infectious Diseases",
"state": "TX",
"license": "F4024",
"primary": false
}
],
"identifiers": [],
"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 Mar 19, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.