NPIMap

Organization Active NPI

Parmer Lane Medical Office LLC

  • Adult Mental Health Clinic/Center
  • Cedar Park, TX
National Provider Identifier
1407409436
Registry record updated Jul 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
PARMER LANE MEDICAL OFFICE LLC
Practice address
11901 W Parmer LN Ste 310
Cedar Park, TX 78613-7654
Phone
(512) 528-9498
Fax
(512) 843-7164
NPI assigned
Jul 18, 2019
Organization subpart
Yes
Parent organization
BRIAN S. EARTHMAN MD PAAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 18, 2019

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

Authorized official

Name
Dr. Brian Stuart Earthman, MDNPI 1528095882
Title
President/Owner
Phone
(512) 528-9498

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X Primary

Addresses

Primary practice location

11901 W Parmer LN Ste 310
Cedar Park, TX 78613-7654

Mailing address

11901 W Parmer LN Ste 310
Cedar Park, TX 78613-7654
Phone (512) 528-9498

Other names 1

  • Parmer Lane Medical Office LLC Former legal business name

National Provider Directory

National Provider Directory
Part of
Brian S Earthman MD PA

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1563408000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1563408000000",
    "number": "1407409436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11901 W PARMER LN STE 310",
            "city": "CEDAR PARK",
            "state": "TX",
            "postal_code": "786137654",
            "telephone_number": "512-528-9498",
            "fax_number": "512-843-7164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11901 W PARMER LN STE 310",
            "city": "CEDAR PARK",
            "state": "TX",
            "postal_code": "786137654",
            "telephone_number": "512-528-9498",
            "fax_number": "512-843-7164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARMER LANE MEDICAL OFFICE LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BRIAN S. EARTHMAN MD PA",
        "enumeration_date": "2019-07-18",
        "last_updated": "2019-07-18",
        "status": "A",
        "authorized_official_last_name": "EARTHMAN",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "STUART",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "512-528-9498",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Parmer Lane Medical Office LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Cedar Park, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2019; 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.