Individual provider Active NPI

Laura Katherine Austin, M.D.

  • Medical Oncology Physician
  • Broomall, PA
National Provider Identifier
1396972642
Registry record updated Feb 6, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Oncology PhysicianTaxonomy code 207RX0202X
License
MD452907 Issued in PA
Practice address
30 Lawrence Rd Ste 201
Broomall, PA 19008-3301
Phone
(610) 492-5900
Fax
(610) 492-5903
NPI assigned
Jun 14, 2009
Last updated
Feb 6, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Oncology Physician 207RX0202X MD452907 PA Primary
Internal Medicine Physician 207R00000X MT195356 PA

Addresses

Primary practice location

30 Lawrence Rd Ste 201
Broomall, PA 19008-3301

Mailing address

30 Lawrence Rd Ste 201
Broomall, PA 19008-3301
Phone (610) 492-5900

Other identifiers 1

IdentifierTypeStateIssuer
0476439MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150917001423 PA Practitioner - Medical Oncology 9830322551 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MT195356PAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Consultants in Medical Oncology & Hematology, PC CurrentSince Aug 1, 2016 Accepting new patients
Jefferson University Physicians Internal Medicine CurrentSince Jul 27, 2015 Accepting new patients
Integrated Palliative Care, PC PastSince Jun 22, 2021 Accepting new patients

Locations

30 Lawrence Rd
Ste 201
Broomall, PA 19008
Phone (610) 492-5900

500 Evergreen Dr
Ste G4
Glen Mills, PA 19342
Phone (610) 887-0303

925 Chestnut St
Fl 3
Philadelphia, PA 19107
Phone (215) 503-6654

925 Chestnut St
Fl 6
Philadelphia, PA 19107
Phone (215) 955-6760

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.

NPI Registry JSON

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

{
    "created_epoch": "1244937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1517875200000",
    "number": "1396972642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 LAWRENCE RD STE 201",
            "city": "BROOMALL",
            "state": "PA",
            "postal_code": "190083301",
            "telephone_number": "610-492-5900",
            "fax_number": "610-492-5903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 LAWRENCE RD STE 201",
            "city": "BROOMALL",
            "state": "PA",
            "postal_code": "190083301",
            "telephone_number": "610-492-5900",
            "fax_number": "610-492-5903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AUSTIN",
        "first_name": "LAURA",
        "middle_name": "KATHERINE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-14",
        "last_updated": "2018-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RX0202X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Medical Oncology",
            "state": "PA",
            "license": "MD452907",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MT195356",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0476439",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Broomall, PA

Sources for this page

Verify at the official NPI Registry.