Active NPI
Stephen Douglas Houston, M.D.
- Dermatology Physician
- Austin, TX
National Provider Identifier
1548235633
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- E1198
- Practice address
- 4419 Frontier TRL
Suite 110
Austin, TX 78745-1686 - Phone
- (512) 444-7208
- Fax
- (512) 444-2343
- NPI assigned
- Feb 22, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| MOHS-Micrographic Surgery Physician | 207ND0101X | E1198 | TX | |
| Procedural Dermatology Physician | 207NS0135X | E1198 | TX | |
| Dermatology Physician | 207N00000X | E1198 | TX | Primary |
Addresses
Primary practice location
4419 Frontier TRL
Suite 110
Austin, TX 78745-1686
Mailing address
4419 Frontier TRL
Suite 110
Austin, TX 78745-1686
Phone (512) 444-7208
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 122735702 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E1198 | TX | MD | Dermatology Physician |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Dermatology Physician
- Austin, TX
- NPI 1619942182
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140566400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1555632000000",
"number": "1548235633",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4419 FRONTIER TRL",
"address_2": "SUITE 110",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787451686",
"telephone_number": "512-444-7208",
"fax_number": "512-444-2343"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4419 FRONTIER TRL",
"address_2": "SUITE 110",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787451686",
"telephone_number": "512-444-7208",
"fax_number": "512-444-2343"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOUSTON",
"first_name": "STEPHEN",
"middle_name": "DOUGLAS",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-02-22",
"last_updated": "2019-04-19",
"status": "A"
},
"taxonomies": [
{
"code": "207ND0101X",
"taxonomy_group": "",
"desc": "Dermatology, MOHS-Micrographic Surgery",
"state": "TX",
"license": "E1198",
"primary": false
},
{
"code": "207NS0135X",
"taxonomy_group": "",
"desc": "Dermatology, Procedural Dermatology",
"state": "TX",
"license": "E1198",
"primary": false
},
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "TX",
"license": "E1198",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "122735702",
"state": "TX"
}
],
"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 Apr 19, 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.