Austin Surgical Clinic

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

0080041803 Issued in TX

Legal business name

AUSTIN SURGICAL CLINIC

Practice address

2911 Medical Arts St
BLDG 2
Austin, TX 78705-3376

Phone

(512) 478-3402

Fax

(512) 478-7114

NPI assigned

Jul 12, 2005

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Charlie P Ross, MDNPI 1033117668

Title

President

Phone

(512) 478-3402

Specialties & licenses 1

Addresses

Locations

Practitioners 4

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.

• Charlie P Ross, MD

  • Surgery Physician
  • Austin, TX
  • NPI 1033117668
  NPD (past) Authorized official
• Thomas B Coopwood I, M.D.

  • Surgery Physician
  • Austin, TX
  • NPI 1730218025
  NPD (past)
• Wendell Drew Fielder, MD

  • Surgery Physician
  • Austin, TX
  • NPI 1972500866
  NPD (past)
• Clyde D. Smith, M.D.

  • Surgery Physician
  • Taylor, TX
  • NPI 1104917202
  NPD (past)

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

{
    "created_epoch": "1121126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1639177876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2911 MEDICAL ARTS ST",
            "address_2": "BLDG 2",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787053376",
            "telephone_number": "512-478-3402",
            "fax_number": "512-478-7114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2911 MEDICAL ARTS ST",
            "address_2": "BLDG 2",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787053376",
            "telephone_number": "512-478-3402",
            "fax_number": "512-478-7114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUSTIN SURGICAL CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ROSS",
        "authorized_official_first_name": "CHARLIE",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "512-478-3402",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "TX",
            "license": "0080041803",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Austin Stillpoint Psychotherapy
• Austin Strong: Relationship Building Center
• Austin Surgeons PLLC
• Austin Surgical Arts
• Austin Surgical Assistants, Inc.
• Austin Teen Therapy, PLLC
• Austin Texas Radiation Oncology Group, PA (austin cancer center)
• Austin Therapy and Counseling LLC
• Austin Therapy and Counseling PLLC
• Austin Therapy and Wellness, PLLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.