South Austin Medical Clinic PA

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

SOUTH AUSTIN MEDICAL CLINIC PA

Practice address

2555 Western Trails Blvd
Suite 101
Austin, TX 78745-1687

Phone

(512) 892-6600

Fax

(512) 892-6609

NPI assigned

Jul 4, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Eric W Weidmann, M.D.

Title

Physician

Phone

(512) 892-6600

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1151971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1528098746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2555 WESTERN TRAILS BLVD",
            "address_2": "SUITE 101",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787451687",
            "telephone_number": "512-892-6600",
            "fax_number": "512-892-6609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2555 WESTERN TRAILS BLVD",
            "address_2": "SUITE 101",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787451687",
            "telephone_number": "512-892-6600",
            "fax_number": "512-892-6609"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH AUSTIN MEDICAL CLINIC PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WEIDMANN",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "512-892-6600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• South Austin Group Health, LLC
• South Austin Health Imaging LLC
• South Austin Healthcare Company
• South Austin Healthcare Company
• South Austin Healthcare Company
• South Austin Microendodontics
• South Austin OB-GYN
• South Austin Oral Surgery
• South Austin Orthopaedic Clinic PA
• South Austin Pharmacy LLC

• All providers in Austin, TX
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.