Austin Med Group Inc

Primary specialty

Clinical Cardiac Electrophysiology PhysicianTaxonomy code 207RC0001X

License

12-41560 Issued in KS

Legal business name

AUSTIN MED GROUP INC

Practice address

345 N Riverview St
Wichita, KS 67203-4200

Phone

(913) 461-2130

NPI assigned

Aug 7, 2012

Organization subpart

No

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

Authorized official

Name

Joseph Bleek

Title

Ceo

Phone

(913) 461-2130

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1344297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1347926400000",
    "number": "1336496595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "345 N RIVERVIEW ST",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672034200",
            "telephone_number": "913-461-2130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "345 N RIVERVIEW ST",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672034200",
            "telephone_number": "913-461-2130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUSTIN MED GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-07",
        "last_updated": "2012-09-18",
        "status": "A",
        "authorized_official_last_name": "BLEEK",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "913-461-2130"
    },
    "taxonomies": [
        {
            "code": "207RC0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": "KS",
            "license": "12-41560",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mishawn Audrain, PHARM D
• Audrey L. Martin LLC
• Jill A Augustine, ARNP
• Teri Augustus, LMSW
• Sharree Aupperle, PHD
• Jill D Austin, PT
• Kelsey Austin
• Madeline Austin
• Tessa Austin, MD
• Autism Awareness Association Inc.

• Clinical Cardiac Electrophysiology Physician in Wichita, KS
• Providers in Wichita, KS by specialty
• Clinical Cardiac Electrophysiology Physician in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 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.