Organization Active NPI

Vitaus Medical Center, PLLC

  • Family Medicine Physician
  • Austin, TX
National Provider Identifier
1508334749
Registry record updated Jun 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
VITAUS MEDICAL CENTER, PLLC
Practice address
12034 Research Blvd Ste 1
Austin, TX 78759-2405
Phone
(512) 250-1099
NPI assigned
Nov 6, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2019

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

Authorized official

Name
Christopher N Eisenhauer, MDNPI 1881779502
Title
Medical Doctor/Owner
Phone
(512) 250-1099

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

12034 Research Blvd Ste 1
Austin, TX 78759-2405

Mailing address

12034 Research Blvd Ste 1
Austin, TX 78759-2405
Phone (512) 250-1099

National Provider Directory

National Provider Directory

Locations

12034 Research Blvd
Ste 1
Austin, TX 78759
Phone (512) 250-1099

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/19425/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1541462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560211200000",
    "number": "1508334749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12034 RESEARCH BLVD STE 1",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787592405",
            "telephone_number": "512-250-1099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12034 RESEARCH BLVD STE 1",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787592405",
            "telephone_number": "512-250-1099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VITAUS MEDICAL CENTER, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-06",
        "last_updated": "2019-06-11",
        "status": "A",
        "authorized_official_last_name": "EISENHAUER",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "MEDICAL DOCTOR/OWNER",
        "authorized_official_telephone_number": "512-250-1099",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jun 11, 2019; 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.