Lisa Wun Kam Gaw, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

N8654 Issued in TX

Practice address

4477 S Lamar Blvd Ste 400a
Austin, TX 78745-1589

Phone

(512) 892-9231

Fax

(512) 892-9232

NPI assigned

Apr 5, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• The Austin Diagnostic Clinic, PLLC

  • Nephrology Physician
  • Austin, TX
  • NPI 1497729685
  Medicare reassignment NPD
• Austin Diagnostic Clinic

  • Hospitalist Physician
  • Austin, TX
  • NPI 1972011658
  NPD
• The Austin Diagnostic Clinic, PLLC

  • Internal Medicine Physician
  • Austin, TX
  • NPI 1073591202
  NPD
• Austin Diagnostic Clinic, PA

  • Ambulatory Surgical Clinic/Center
  • Austin, TX
  • NPI 1619923950
  NPD (past)
• Starlight Pediatric Urgent Care

  • Urgent Care Clinic/Center
  • Houston, TX
  • NPI 1225459233

  Pediatrics

  NPD (past)
• Texas Children'S Urgent Care

  • Pediatrics Physician
  • Houston, TX
  • NPI 1871998963
  NPD (past)

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

{
    "created_epoch": "1301961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659916800000",
    "number": "1235428871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1919 S BRAESWOOD BLVD STE 5330",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770304466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4477 S LAMAR BLVD STE 400A",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787451589",
            "telephone_number": "512-892-9231",
            "fax_number": "512-892-9232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAW",
        "first_name": "LISA",
        "middle_name": "WUN KAM",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-04-05",
        "last_updated": "2022-08-08",
        "certification_date": "2022-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "N8654",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "294252601",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brenda Lee Gauthier, LCSW, LCDC
• Jordan K Gauthier, PT. DPT
• Samantha Elizabeth Gauthier, COTA
• Brenda Li Gavilla, BCBA
• Katharine Grace Porter Gavin, DO
• Sara Gawor, LCSW
• Selina Gawriluk, FNP-C
• James Robert Gay, PH.D.
• Paula C Gay, PH.D.
• Emily Gayer, AUD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.