Organization Active NPI

Austin Physician Alliance Group

  • Podiatrist
  • Georgetown, TX
National Provider Identifier
1437514510
Registry record updated Mar 22, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
Legal business name
AUSTIN PHYSICIAN ALLIANCE GROUP
Practice address
316 Escondido Dr
Georgetown, TX 78633-5645
Phone
(512) 763-4680
Fax
(512) 838-6504
NPI assigned
Dec 16, 2015
Last updated
Mar 22, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2018

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

Authorized official

Name
Edward Marroquin
Title
Administrator
Phone
(512) 763-4690

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X NU
Podiatrist 213E00000X NU Primary
Foot & Ankle Surgery Podiatrist 213ES0103X NU

Addresses

Primary practice location

316 Escondido Dr
Georgetown, TX 78633-5645

Mailing address

316 Escondido Dr
Georgetown, TX 78633-5645
Phone (512) 763-4680

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1450224000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521676800000",
    "number": "1437514510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "316 ESCONDIDO DR",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786335645",
            "telephone_number": "512-763-4680",
            "fax_number": "512-838-6504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "316 ESCONDIDO DR",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786335645",
            "telephone_number": "512-763-4680",
            "fax_number": "512-838-6504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUSTIN PHYSICIAN ALLIANCE GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-16",
        "last_updated": "2018-03-22",
        "status": "A",
        "authorized_official_last_name": "MARROQUIN",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "512-763-4690"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Georgetown, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2018; 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.