Austin Diagnostic Clinic

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

AUSTIN DIAGNOSTIC CLINIC

Practice address

12221 Mopac Expressway North
Austin, TX 78758-2483

Phone

(512) 901-4937

Fax

(512) 901-3945

NPI assigned

Oct 6, 2006

Last updated

Nov 15, 2012By 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

Ellen M Andrew

Title

Credentialing Specialist

Phone

(512) 901-4937

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jerry L. Hood, M.D.

  • Internal Medicine Physician
  • Austin, TX
  • NPI 1356318455
  NPD (past)
• William C. Lockett, MD

  • Internal Medicine Physician
  • Austin, TX
  • NPI 1174592265
  NPD (past)
• Cynthia Inge Wasser, OD

  • Optometrist
  • Austin, TX
  • NPI 1558467407
  NPD (past)

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

{
    "created_epoch": "1160092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1352937600000",
    "number": "1245327980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12221 MOPAC EXPRESSWAY NORTH",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787582483",
            "telephone_number": "512-901-4937",
            "fax_number": "512-901-3945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12221 MOPAC EXPRESSWAY NORTH",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787582483",
            "telephone_number": "512-901-4937",
            "fax_number": "512-901-3945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUSTIN DIAGNOSTIC CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-06",
        "last_updated": "2012-11-15",
        "status": "A",
        "authorized_official_last_name": "ANDREW",
        "authorized_official_first_name": "ELLEN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "512-901-4937"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF TX",
            "identifier": "579294",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Austin Dentistry, PLLC
• Austin Derm Associates
• Austin Dermatology Clinic, PA
• Austin Dermcare Mso, LLC
• Austin Diabetes Services
• Austin Diagnostic Clinic
• Austin Diagnostic Clinic
• Austin Diagnostic Clinic PA
• Austin Diagnostic Clinic, PA (Austin Diagnostic Clinic)
• Austin Diagnostic Clinic, PA

• Durable Medical Equipment & Medical Supplies in Austin, TX
• Providers in Austin, TX by specialty
• Durable Medical Equipment & Medical Supplies in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 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.