Austin Children'S Clinic, PA

Primary specialty

Pediatric Adolescent Medicine PhysicianTaxonomy code 2080A0000X

Legal business name

AUSTIN CHILDREN'S CLINIC, PA

Practice address

11673 Jollyville Rd
Suite 104
Austin, TX 78759-3933

Phone

(512) 338-5130

Fax

(512) 338-5112

NPI assigned

Apr 12, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Rebecca Pauline Myers

Title

Office Manager

Phone

(512) 338-5130

Specialties & licenses 1

Addresses

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/26664/brand/1/csg/1/fhir/r4

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mary Chris Petropoulos, MD

  • Pediatrics Physician
  • Austin, TX
  • NPI 1750483707
  NPD (past)

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

{
    "created_epoch": "1176336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184198400000",
    "number": "1508080516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11673 JOLLYVILLE RD",
            "address_2": "SUITE 104",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787593933",
            "telephone_number": "512-338-5130",
            "fax_number": "512-338-5112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11673 JOLLYVILLE RD",
            "address_2": "SUITE 104",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787593933",
            "telephone_number": "512-338-5130",
            "fax_number": "512-338-5112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUSTIN CHILDREN'S CLINIC, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-12",
        "last_updated": "2007-07-12",
        "status": "A",
        "authorized_official_last_name": "MYERS",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_middle_name": "PAULINE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "512-338-5130",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "2080A0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Austin Center for Therapy and Assessment
• Austin Central Park Pediatric Dentistry
• Austin Child Guidance Center
• Austin Children'S Chest Associates II
• Austin Children'S Chest Associates, PA
• Austin Children'S Shelter
• Austin Children'S Shelter
• Austin Childrens Dentistry
• Austin Childrens Shelter
• Austin Childrens Surgery Center LLC

• Pediatric Adolescent Medicine Physician in Austin, TX
• Providers in Austin, TX by specialty
• Pediatric Adolescent Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2007; 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.