NPIMap

Organization Active NPI

Ageless Men's Health PLLC

  • Specialist
  • Austin, TX
National Provider Identifier
1235482316
Registry record updated Oct 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
AGELESS MEN'S HEALTH PLLC
Practice address
13435 N US Highway 183
Suite 302
Austin, TX 78750-3218
Phone
(512) 250-5300
Fax
(512) 250-5304
NPI assigned
Oct 26, 2012
Last updated
Oct 26, 2012By the provider in NPPES
Organization subpart
Yes
Parent organization
AGELESS MEN'S HEALTH HOLDINGS, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 26, 2012

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

Authorized official

Name
Mrs. Melissa C McClellan
Title
VP of Operations
Phone
(901) 757-3643

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X Primary

Addresses

Primary practice location

13435 N US Highway 183
Suite 302
Austin, TX 78750-3218

Mailing address

13435 N US Highway 183
Suite 302
Austin, TX 78750-3218
Phone (512) 250-5300

National Provider Directory

National Provider Directory
Tax ID family
Ageless Men's Health PLLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

13435 N US Highway 183
Ste 302
Austin, TX 78750
Phone (512) 250-5300

NPI Registry JSON

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

{
    "created_epoch": "1351209600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1351209600000",
    "number": "1235482316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13435 N US HIGHWAY 183",
            "address_2": "SUITE 302",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787503218",
            "telephone_number": "512-250-5300",
            "fax_number": "512-250-5304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13435 N US HIGHWAY 183",
            "address_2": "SUITE 302",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787503218",
            "telephone_number": "512-250-5300",
            "fax_number": "512-250-5304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AGELESS MEN'S HEALTH PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "AGELESS MEN'S HEALTH HOLDINGS, LLC",
        "enumeration_date": "2012-10-26",
        "last_updated": "2012-10-26",
        "status": "A",
        "authorized_official_last_name": "MCCLELLAN",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "VP OF OPERATIONS",
        "authorized_official_telephone_number": "901-757-3643",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "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 Oct 26, 2012; 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.