NPIMap

Organization Active NPI

Austin Integrative Spine, PLLC

  • Neurological Surgery Physician
  • Austin, TX
National Provider Identifier
1659919546
Registry record updated Mar 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
Legal business name
AUSTIN INTEGRATIVE SPINE, PLLC
Practice address
5656 Bee Caves Road
Suite C-101
Austin, TX 78746
Phone
(512) 212-4865
Fax
(737) 220-2520
NPI assigned
Dec 11, 2019
Last updated
Mar 23, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2020

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

Authorized official

Name
Marcella Madera, MDNPI 1528287851
Title
Neurosurgeon
Phone
(512) 212-4865

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X Primary

Addresses

Primary practice location

5656 Bee Caves Road
Suite C-101
Austin, TX 78746

Mailing address

2510 Trail of the Madrones
Austin, TX 78746-2341
Phone (512) 212-4865

National Provider Directory

National Provider Directory

Locations

5656 Bee Caves Rd
Ste C101
West Lake Hills, TX 78746
Phone (512) 817-4600

Practitioners & affiliated clinicians

Practitioners 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1576022400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1584921600000",
    "number": "1659919546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2510 TRAIL OF THE MADRONES",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787462341",
            "telephone_number": "512-212-4865",
            "fax_number": "737-220-2520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5656 BEE CAVES ROAD",
            "address_2": "SUITE C-101",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "78746",
            "telephone_number": "512-212-4865",
            "fax_number": "737-220-2520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUSTIN INTEGRATIVE SPINE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-11",
        "last_updated": "2020-03-23",
        "certification_date": "2020-03-23",
        "status": "A",
        "authorized_official_last_name": "MADERA",
        "authorized_official_first_name": "MARCELLA",
        "authorized_official_title_or_position": "NEUROSURGEON",
        "authorized_official_telephone_number": "512-212-4865",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": null,
            "license": null,
            "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 Mar 23, 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.