Organization Active NPI

Deirdre M Rhoad M D P a

Doing business as Austin Plastic Surgery - Deirdre M Rhoad M D P A

  • Specialist
  • Austin, TX
National Provider Identifier
1679851901
Registry record updated Aug 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
H4642 Issued in TX
Legal business name
DEIRDRE M RHOAD M D P A
Doing business as
Austin Plastic Surgery - Deirdre M Rhoad M D P A
Practice address
11111 Research Blvd
Suite 310
Austin, TX 78759-5264
Phone
(512) 476-9149
Fax
(512) 476-8654
NPI assigned
Aug 4, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2011

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

Authorized official

Name
Dr. Deirdre Rhoad, M DNPI 1427153568
Title
President
Phone
(512) 476-9149

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X H4642 TX Primary

Addresses

Primary practice location

11111 Research Blvd
Suite 310
Austin, TX 78759-5264

Mailing address

11111 Research Blvd
Suite 310
Austin, TX 78759-5264
Phone (512) 476-9149

Other names 1

  • Austin Plastic Surgery - Deirdre M Rhoad M D P A Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110823000402 TX Part B Supplier - Clinic/Group Practice 9931379377 Receives reassigned benefits from 1 practitioner
Practice locations: Austin, TX

National Provider Directory

National Provider Directory

Locations

11671 Jollyville Rd
Ste 103
Austin, TX 78759
Phone (512) 476-9149

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1312416000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1312416000000",
    "number": "1679851901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11111 RESEARCH BLVD",
            "address_2": "SUITE 310",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787595264",
            "telephone_number": "512-476-9149",
            "fax_number": "512-476-8654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11111 RESEARCH BLVD",
            "address_2": "SUITE 310",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787595264",
            "telephone_number": "512-476-9149",
            "fax_number": "512-476-8654"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEIRDRE M RHOAD M D P A",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-04",
        "last_updated": "2011-08-04",
        "status": "A",
        "authorized_official_last_name": "RHOAD",
        "authorized_official_first_name": "DEIRDRE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "512-476-9149",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M D"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "TX",
            "license": "H4642",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Austin Plastic Surgery - Deirdre M Rhoad M D P A",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Aug 4, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.