Central Austin Dermatology, P.a.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

CENTRAL AUSTIN DERMATOLOGY, P.A.

Practice address

720 W 34TH St
Suite 210
Austin, TX 78705-1205

Phone

(512) 450-1001

Fax

(512) 302-9723

NPI assigned

Apr 8, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Jay Anthony Hendrix, M.D.

Title

Vice President

Phone

(512) 450-1001

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

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

• Simi D Cadmus, MD

  • Dermatology Physician
  • Austin, TX
  • NPI 1720584030
  NPD (past)

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

{
    "created_epoch": "1175990400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1432944000000",
    "number": "1518080415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "720 W 34TH ST",
            "address_2": "SUITE 210",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787051205",
            "telephone_number": "512-450-1001",
            "fax_number": "512-302-9723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 W 34TH ST",
            "address_2": "SUITE 210",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787051205",
            "telephone_number": "512-450-1001",
            "fax_number": "512-302-9723"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL AUSTIN DERMATOLOGY, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-08",
        "last_updated": "2015-05-30",
        "status": "A",
        "authorized_official_last_name": "HENDRIX",
        "authorized_official_first_name": "JAY",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "512-450-1001",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "081333901",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Central Austin Ambulatory Surgery Center L.P.
• Central Austin Counseling, PLLC
• Central Austin Internists
• Central Austin Pediatric Dental, PLLC
• Central Austin Physical Therapy
• Central Austin Psychology Group, PLLC
• Central Austin Psychotherapy

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2015; 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.