NPIMap

Organization Active NPI

Austin Diagnostic Clinic, PA

  • Ambulatory Surgical Clinic/Center
  • Austin, TX
National Provider Identifier
1619923950
Registry record updated Oct 21, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
008167 Issued in TX
Legal business name
AUSTIN DIAGNOSTIC CLINIC, PA
Practice address
7600 N Capital of Texas Hwy
Ambulatory Surgery Center
Austin, TX 78731-1181
Phone
(512) 901-4029
Fax
(512) 901-3920
NPI assigned
May 26, 2006
Last updated
Oct 21, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2009

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

Authorized official

Name
Ellen M Andrew
Title
Credentialing Specialist
Phone
(512) 901-4937

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X 008167 TX Primary

Addresses

Primary practice location

7600 N Capital of Texas Hwy
Ambulatory Surgery Center
Austin, TX 78731-1181

Mailing address

12221 Mo Pac Expwy N
Ambulatory Surgery Center
Austin, TX 78758-2483
Phone (512) 901-4029

Other identifiers 1

IdentifierTypeStateIssuer
140347948MedicaidTX

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

4307 James Casey St
Austin, TX 78745
Phone (512) 416-6005

7600 N Capital of Texas Hwy
Ste A
Austin, TX 78731
Phone (512) 244-0766

Practitioners & affiliated clinicians

Practitioners 274

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 274

NPI Registry JSON

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

{
    "created_epoch": "1148601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1256083200000",
    "number": "1619923950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12221 MO PAC EXPWY N",
            "address_2": "AMBULATORY SURGERY CENTER",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787582483",
            "telephone_number": "512-901-4029",
            "fax_number": "512-901-3920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7600 N CAPITAL OF TEXAS HWY",
            "address_2": "AMBULATORY SURGERY CENTER",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787311181",
            "telephone_number": "512-901-4029",
            "fax_number": "512-901-3920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUSTIN DIAGNOSTIC CLINIC, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-26",
        "last_updated": "2009-10-21",
        "status": "A",
        "authorized_official_last_name": "ANDREW",
        "authorized_official_first_name": "ELLEN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "512-901-4937"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "TX",
            "license": "008167",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "140347948",
            "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 Oct 21, 2009; 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.