Chudleigh PA

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

CHUDLEIGH PA

Doing business as

Transitions Geriatrics Group

Practice address

7620 Deer Run
Leander/Volente, TX 78641

Phone

(512) 452-2100

Fax

(855) 346-7410

NPI assigned

Mar 26, 2008

Last updated

Jun 24, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

James Painter Chudleigh, M.D.

Title

Physician/Owner

Phone

(512) 699-8819

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Transitions Geriatrics Group Doing business as

Locations

Practitioners 4

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.

• Lawrence Bayliss, APRN

  • Family Nurse Practitioner
  • Austin, TX
  • NPI 1316164163
  NPD (past)
• Florence Olabisi Falola, NP

  • Nurse Practitioner
  • Austin, TX
  • NPI 1306818679
  NPD (past)
• Amanda L. Mishra, CNS

  • Clinical Nurse Specialist
  • Austin, TX
  • NPI 1497828693
  NPD (past)
• Julie A Tesch, FNP

  • Family Nurse Practitioner
  • Austin, TX
  • NPI 1962672386
  NPD (past)

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

{
    "created_epoch": "1206489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1403568000000",
    "number": "1447422829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10807",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787661807",
            "telephone_number": "512-452-2100",
            "fax_number": "855-346-7410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7620 DEER RUN",
            "city": "LEANDER/VOLENTE",
            "state": "TX",
            "postal_code": "78641",
            "telephone_number": "512-452-2100",
            "fax_number": "855-346-7410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHUDLEIGH PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-26",
        "last_updated": "2014-06-24",
        "status": "A",
        "authorized_official_last_name": "CHUDLEIGH",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "PAINTER",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "512-699-8819",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "173205901",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Transitions Geriatrics Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2014; 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.