Organization Active NPI

David P Wasserman DO PA

Doing business as Lake Travis Medical Center

  • Family Medicine Physician
  • Austin, TX
National Provider Identifier
1427263755
Registry record updated Jan 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
K7413 Issued in TX
Legal business name
DAVID P WASSERMAN DO PA
Doing business as
Lake Travis Medical Center
Practice address
1927 Lohmans Crossing Rd
Suite 200
Austin, TX 78734-5243
Phone
(512) 263-9188
Fax
(512) 263-3645
NPI assigned
May 11, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2008

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

Authorized official

Name
Dr. David P Wasserman, DO
Title
President
Phone
(512) 263-9188

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X K7413 TX Primary

Addresses

Primary practice location

1927 Lohmans Crossing Rd
Suite 200
Austin, TX 78734-5243

Mailing address

1927 Lohmans Crossing Rd
Suite 200
Austin, TX 78734-5243
Phone (512) 263-9188

Other names 1

  • Lake Travis Medical Center Doing business as

National Provider Directory

National Provider Directory

Locations

1927 Lohmans Crossing Rd
Ste 200
Lakeway, TX 78734
Phone (512) 263-9188

NPI Registry JSON

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

{
    "created_epoch": "1178841600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199836800000",
    "number": "1427263755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1927 LOHMANS CROSSING RD",
            "address_2": "SUITE 200",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787345243",
            "telephone_number": "512-263-9188",
            "fax_number": "512-263-3645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1927 LOHMANS CROSSING RD",
            "address_2": "SUITE 200",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787345243",
            "telephone_number": "512-263-9188",
            "fax_number": "512-263-3645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID P WASSERMAN DO PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-11",
        "last_updated": "2008-01-09",
        "status": "A",
        "authorized_official_last_name": "WASSERMAN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "512-263-9188",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "K7413",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lake Travis Medical Center",
            "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 9, 2008; 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.