Osvaldo Hector Perurena, MD

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

L9426 Issued in TX

Practice address

1600 W 38TH St
Suite 308
Austin, TX 78731-6400

Phone

(512) 324-3540

Fax

(512) 324-3541

NPI assigned

Sep 20, 2006

Last updated

Jan 30, 2013By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• University of Texas Medical Branch, Austin Initiatives at Utmb

  • Internal Medicine Physician
  • Austin, TX
  • NPI 1144393802

  Neurology

  NPD (past)

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1359504000000",
    "number": "1629176961",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 N IH 35",
            "address_2": "SUITE 300",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787011926",
            "telephone_number": "512-324-8300",
            "fax_number": "512-324-8301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 W 38TH ST",
            "address_2": "SUITE 308",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787316400",
            "telephone_number": "512-324-3540",
            "fax_number": "512-324-3541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERURENA",
        "first_name": "OSVALDO",
        "middle_name": "HECTOR",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2013-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "TX",
            "license": "L9426",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "189810803",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "189810804",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amy Claire Person, MS, LPC
• Persona Healthcare
• Personal Nutrition, Inc
• Perspective Physical Therapy, LLC (Perspective Physical Therapy)
• Lisa Diane Persyn, MD
• Carly Krumnow Peschke, CRNA
• Elijah Pesudas, LMT
• Peter a. Kangos, MD, PA
• Peter Broberg, MD and Associates, PA
• Molly Peter, PHD

• Neurology Physician in Austin, TX
• Providers in Austin, TX by specialty
• Neurology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2013; 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.