Organization Active NPI

George M. Austin, M.D. Inc.

  • Specialist
  • Blue Springs, MO
National Provider Identifier
1669500815
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
R8754 Issued in MO
Legal business name
GEORGE M. AUSTIN, M.D. INC.
Practice address
206 NW Mock Ave
Suite 200
Blue Springs, MO 64014-2507
Phone
(816) 224-8999
Fax
(816) 224-3121
NPI assigned
Mar 1, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Karen Dieckhoff
Title
Patient Accounts
Phone
(816) 224-8999

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X R8754 MO Primary

Addresses

Primary practice location

206 NW Mock Ave
Suite 200
Blue Springs, MO 64014-2507

Mailing address

206 NW Mock Ave
Suite 200
Blue Springs, MO 64014-2507
Phone (816) 224-8999

Other identifiers 1

IdentifierTypeStateIssuer
07414054OtherMOBLUE CROSS BLUE SHIELD

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1172707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1669500815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "206 NW MOCK AVE",
            "address_2": "SUITE 200",
            "city": "BLUE SPRINGS",
            "state": "MO",
            "postal_code": "640142507",
            "telephone_number": "816-224-8999",
            "fax_number": "816-224-3121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 NW MOCK AVE",
            "address_2": "SUITE 200",
            "city": "BLUE SPRINGS",
            "state": "MO",
            "postal_code": "640142507",
            "telephone_number": "816-224-8999",
            "fax_number": "816-224-3121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEORGE M. AUSTIN, M.D. INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DIECKHOFF",
        "authorized_official_first_name": "KAREN",
        "authorized_official_title_or_position": "PATIENT ACCOUNTS",
        "authorized_official_telephone_number": "816-224-8999"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "MO",
            "license": "R8754",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "07414054",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Blue Springs, MO

Sources for this page

  • 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.