Organization Active NPI

Austin Medical Group PLLC

  • Family Medicine Physician
  • Austin, TX
National Provider Identifier
1417189390
Registry record updated Nov 9, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
F7516 Issued in TX
Legal business name
AUSTIN MEDICAL GROUP PLLC
Practice address
12201 Renfert Way
#370
Austin, TX 78758-5354
Phone
(512) 234-5716
NPI assigned
Aug 11, 2009
Last updated
Nov 9, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2009

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

Authorized official

Name
Love Paul, M.D.NPI 1730147018
Title
President
Phone
(512) 234-5716

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X F7516 TX Primary

Addresses

Primary practice location

12201 Renfert Way
#370
Austin, TX 78758-5354

Mailing address

12201 Renfert Way
#370
Austin, TX 78758-5354
Phone (512) 234-5716

National Provider Directory

National Provider Directory

Locations

12201 Renfert Way
Ste 315
Austin, TX 78758
Phone (512) 837-6000

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/12837/brand/1/csg/1/fhir/r4

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": "1249948800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1257724800000",
    "number": "1417189390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12201 RENFERT WAY",
            "address_2": "#370",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787585354",
            "telephone_number": "512-234-5716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12201 RENFERT WAY",
            "address_2": "#370",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787585354",
            "telephone_number": "512-234-5716"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUSTIN MEDICAL GROUP PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-11",
        "last_updated": "2009-11-09",
        "status": "A",
        "authorized_official_last_name": "PAUL",
        "authorized_official_first_name": "LOVE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "512-234-5716",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "F7516",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2009; 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.