Peter a. Kangos, MD, PA

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

G4020 Issued in TX

Legal business name

PETER A. KANGOS, MD, PA

Practice address

12411 Hymeadow Dr
Suite 3F
Austin, TX 78750-1874

Phone

(512) 250-1997

Fax

(512) 250-1529

NPI assigned

Jan 3, 2008

Organization subpart

No

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

Authorized official

Name

Peter Alexis Kangos, M.D.

Title

President

Phone

(512) 250-1997

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1199318400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1290124800000",
    "number": "1457536989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12411 HYMEADOW DR",
            "address_2": "SUITE 3F",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787501874",
            "telephone_number": "512-250-1997",
            "fax_number": "512-250-1529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12411 HYMEADOW DR",
            "address_2": "SUITE 3F",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787501874",
            "telephone_number": "512-250-1997",
            "fax_number": "512-250-1529"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PETER A. KANGOS, MD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-03",
        "last_updated": "2010-11-19",
        "status": "A",
        "authorized_official_last_name": "KANGOS",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "ALEXIS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "512-250-1997",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "G4020",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Pediatrics Physician in Austin, TX
• Providers in Austin, TX by specialty
• Pediatrics Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2010; 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.