Active NPI
George M Austin, M.D
- Specialist
- Blue Springs, MO
National Provider Identifier
1336143296
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- R8754
- Practice address
- 206 NW Mock Ave
Ste 200
Blue Springs, MO 64014-2530 - Phone
- (816) 224-8999
- Fax
- (816) 224-3121
- NPI assigned
- Jun 9, 2005
- Last updated
- Jul 14, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | R8754 | MO | Primary |
Addresses
Primary practice location
206 NW Mock Ave
Ste 200
Blue Springs, MO 64014-2530
Mailing address
206 NW Mock Ave
Ste 200
Blue Springs, MO 64014-2530
Phone (816) 224-8999
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 07414054 | Other | MO | BLUE CROSS BLUE SHIELD |
| 340004705 | Other | MO | RAILROAD MEDICARE |
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 |
|---|---|---|---|
| R8754 | MO | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Centerpoint Medical Specialists LLC | Past | Accepting new patients | |
| University Health Physicians | Past | Accepting new patients | |
| George M. Austin, M.D. Inc. | Specialist | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Urology Physician
- Blue Springs, MO
- NPI 1538486816
-
- Specialist
- Blue Springs, MO
- NPI 1669500815
-
- Internal Medicine Physician
- Kansas City, MO
- NPI 1669456257
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1118275200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1279065600000",
"number": "1336143296",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "206 NW MOCK AVE",
"address_2": "STE 200",
"city": "BLUE SPRINGS",
"state": "MO",
"postal_code": "640142530",
"telephone_number": "816-224-8999",
"fax_number": "816-224-3121"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "206 NW MOCK AVE",
"address_2": "STE 200",
"city": "BLUE SPRINGS",
"state": "MO",
"postal_code": "640142530",
"telephone_number": "816-224-8999",
"fax_number": "816-224-3121"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AUSTIN",
"first_name": "GEORGE",
"middle_name": "M",
"credential": "M.D",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-09",
"last_updated": "2010-07-14",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "MO",
"license": "R8754",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "07414054",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "340004705",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}Other providers in Blue Springs, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.