Organization Active NPI

PMC Healthcare & Diagnostis of Austin, PC

  • Internal Medicine Physician
  • Austin, TX
National Provider Identifier
1578977260
Registry record updated Jun 20, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
K7449 Issued in TX
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

Updated by the provider on Jun 20, 2014

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)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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 Directory

Locations

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.

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

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.

Verify at the official NPI Registry.