Active NPI
PMC Healthcare & Diagnostis of Austin, PC
- Internal Medicine Physician
- Austin, TX
National Provider Identifier
1578977260
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- K7449
- Legal business name
- PMC HEALTHCARE & DIAGNOSTIS OF AUSTIN, PC
- Practice address
- 3007 N Lamar Blvd
Austin, TX 78705-2025 - Phone
- (512) 459-4400
- NPI assigned
- Jun 20, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Shauna Lyn, MD
- Title
- Medical Director
- Phone
- (512) 459-4400
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | K7449 | TX | Primary |
Addresses
Primary practice location
3007 N Lamar Blvd
Austin, TX 78705-2025
Mailing address
3007 N Lamar Blvd
Austin, TX 78705-2025
Phone (512) 459-4400
National Provider Directory
National Provider DirectoryLocations
3007 N Lamar Blvd
Austin, TX 78705
Phone (512) 459-4400
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Austin, TX
- NPI 1962611582
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1403222400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1403222400000",
"number": "1578977260",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3007 N LAMAR BLVD",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787052025",
"telephone_number": "512-459-4400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3007 N LAMAR BLVD",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787052025",
"telephone_number": "512-459-4400"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PMC HEALTHCARE & DIAGNOSTIS OF AUSTIN, PC",
"organizational_subpart": "NO",
"enumeration_date": "2014-06-20",
"last_updated": "2014-06-20",
"status": "A",
"authorized_official_last_name": "LYN",
"authorized_official_first_name": "SHAUNA",
"authorized_official_title_or_position": "MEDICAL DIRECTOR",
"authorized_official_telephone_number": "512-459-4400",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "TX",
"license": "K7449",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Austin, TX
- Catherine Victoria Plyler, DIETITIAN
- Sarah B Plyler, LMFT
- Steven Anthony Plyler, PTA
- PM Management-Austin NC II, LLC (Gracy Woods II Living Center)
- PM Management-Austin NC LLC (Gracy Woods Nursing Center)
- Mark G Poag, M.D.
- Cindy Melissa Pocasangre, DNP, APRN, CPNP-PC
- Alicia R Poche, PT
- Amanda Kay Poche, AGACNP-BC
- Jonathan Podesta, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.