Individual provider Active NPI

Austin Marshall, PHD, PA-C

  • Physician Assistant
  • Richmond, TX
National Provider Identifier
1528461985
Registry record updated Apr 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA09399 Issued in TX
Practice address
7101 W Grand Pkwy S Ste 180
Richmond, TX 77407-8656
Phone
(832) 498-3137
NPI assigned
Sep 30, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA09399 TX Primary

Addresses

Primary practice location

7101 W Grand Pkwy S Ste 180
Richmond, TX 77407-8656

Mailing address

20010 Flax Flower Dr
Richmond, TX 77407-5379
Phone (832) 498-3137

Other identifiers 1

IdentifierTypeStateIssuer
PA09399OtherTXTEXAS MEDICAL BOARD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150528000532 TX Practitioner - Physician Assistant 5597085860 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant, Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PA09399TXMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Next Level MV LLC CurrentSince Jul 3, 2020 Accepting new patients
Nluc PLLC CurrentSince Jul 3, 2020 Accepting new patients
Nluc PLLC Current Accepting new patients
William E Burns Jr M D, PLLC Past Accepting new patients
Henry E. Martinez MD, PA PastSince Dec 15, 2003 Accepting new patients

Locations

7710 Garth Rd
Ste A
Baytown, TX 77521

1246 N FM 3083 Rd W
Ste B
Conroe, TX 77304

5749 San Felipe St
Houston, TX 77057
Phone (281) 362-7557

8325 Broadway St
Ste 220
Pearland, TX 77581
Phone (281) 873-8162

7101 W Grand Pkwy S
Ste 180
Richmond, TX 77407
Phone (832) 304-2309

5211 FM 2920 Rd
Ste 101
Spring, TX 77388

16312 Southwest Fwy
Ste 18
Sugar Land, TX 77479

Interoperability endpoints

  • Direct secure messaging: austinmarshall@nlm.allscriptsdirect.net

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1412035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618444800000",
    "number": "1528461985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20010 FLAX FLOWER DR",
            "city": "RICHMOND",
            "state": "TX",
            "postal_code": "774075379",
            "telephone_number": "832-498-3137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7101 W GRAND PKWY S STE 180",
            "city": "RICHMOND",
            "state": "TX",
            "postal_code": "774078656",
            "telephone_number": "832-498-3137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARSHALL",
        "first_name": "AUSTIN",
        "credential": "PHD, PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-09-30",
        "last_updated": "2021-04-15",
        "certification_date": "2021-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA09399",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS MEDICAL BOARD",
            "identifier": "PA09399",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, TX

Sources for this page

Verify at the official NPI Registry.