NPIMap

Organization Active NPI

Dermatology Specialists of Austin, P.a.

Doing business as Steriner Ranch Dermatology

  • Dermatology Physician
  • Austin, TX
National Provider Identifier
1427009687
Registry record updated Jan 29, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
M2684 Issued in TX
Legal business name
DERMATOLOGY SPECIALISTS OF AUSTIN, P.A.
Doing business as
Steriner Ranch Dermatology
Practice address
4300 N Quinlan Park Rd
Suite 225
Austin, TX 78732-6067
Phone
(512) 266-0007
Fax
(512) 266-0077
NPI assigned
May 12, 2006
Last updated
Jan 29, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2009

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

Authorized official

Name
Dr. Edward Lewis Lain, M.D.NPI 1124079306
Title
Owner/President
Phone
(512) 266-0007

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
Dermatology Physician 207N00000X M2684 TX Primary

Addresses

Primary practice location

4300 N Quinlan Park Rd
Suite 225
Austin, TX 78732-6067

Mailing address

4300 N Quinlan Park Rd
Suite 225
Austin, TX 78732-6067
Phone (512) 266-0007

Other names 1

  • Steriner Ranch Dermatology Doing business as

National Provider Directory

National Provider Directory

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": "1147392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1233187200000",
    "number": "1427009687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4300 N QUINLAN PARK RD",
            "address_2": "SUITE 225",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787326067",
            "telephone_number": "512-266-0007",
            "fax_number": "512-266-0077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4300 N QUINLAN PARK RD",
            "address_2": "SUITE 225",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787326067",
            "telephone_number": "512-266-0007",
            "fax_number": "512-266-0077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DERMATOLOGY SPECIALISTS OF AUSTIN, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-12",
        "last_updated": "2009-01-29",
        "status": "A",
        "authorized_official_last_name": "LAIN",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "LEWIS",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "512-266-0007",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "TX",
            "license": "M2684",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Steriner Ranch Dermatology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jan 29, 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.