Excelsior Anesthesia PLLC

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

Q8036 Issued in TX

Legal business name

EXCELSIOR ANESTHESIA PLLC

Practice address

12728 Council Bluff Dr
Austin, TX 78727

Phone

(512) 963-6566

NPI assigned

Aug 28, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Jonathan Weilon Chin, MD

Title

Physician/Founder

Phone

(512) 846-3100

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1535414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1541116800000",
    "number": "1326529371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 W 38TH ST STE 306",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787316406",
            "telephone_number": "512-846-3100",
            "fax_number": "512-846-3101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12728 COUNCIL BLUFF DR",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "78727",
            "telephone_number": "512-963-6566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXCELSIOR ANESTHESIA PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-28",
        "last_updated": "2018-11-02",
        "status": "A",
        "authorized_official_last_name": "CHIN",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_middle_name": "WEILON",
        "authorized_official_title_or_position": "PHYSICIAN/FOUNDER",
        "authorized_official_telephone_number": "512-846-3100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": "TX",
            "license": "Q8036",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2018; 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.