Austin Association of Otolaryngologists

Primary specialty

SpecialistTaxonomy code 174400000X

License

H2558 Issued in TX

Legal business name

AUSTIN ASSOCIATION OF OTOLARYNGOLOGISTS

Practice address

4407 Bee Caves Rd
1-112
Austin, TX 78746

Phone

(512) 328-4999

Fax

(512) 328-4979

NPI assigned

Sep 13, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Melba F. Lewis, M.D.NPI 1831120021

Title

Owner/President

Phone

(512) 328-4999

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 9

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

• Melba Florine Lewis, M.D.

  • Otolaryngology Physician
  • Austin, TX
  • NPI 1831120021
  Medicare reassignment NPD Authorized official
• Kimberly M Hewitt, M.D.

  • Otolaryngology Physician
  • Austin, TX
  • NPI 1841244712
  Medicare reassignment NPD
• Jessica Kate Malsky, APRN, FNP-C

  • Family Medicine Physician
  • West Lake Hills, TX
  • NPI 1124735329
  Medicare reassignment NPD
• Karol L Moore, MA, CCC-A

  • Audiologist
  • Austin, TX
  • NPI 1598923914
  Medicare reassignment NPD
• Lauren Conner, PA-C

  • Physician Assistant
  • Austin, TX
  • NPI 1306671672
  Medicare reassignment
• Riane Mary Davalos, PA-C

  • Physician Assistant
  • West Lake Hills, TX
  • NPI 1932873916
  Medicare reassignment
• Jenifer Alise Ruffin, PA-C

  • Physician Assistant
  • Austin, TX
  • NPI 1023459104
  Medicare reassignment
• Lauren Dupont, FNP-C

  • Family Nurse Practitioner
  • West Lake Hills, TX
  • NPI 1780479360
  NPD
• Amy Jean Woodall, M.A.,CCC-A

  • Audiologist
  • Sugar Land, TX
  • NPI 1083887103
  NPD (past)

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

{
    "created_epoch": "1189641600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1689869463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4407 BEE CAVES RD",
            "address_2": "1-112",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "78746",
            "telephone_number": "512-328-4999",
            "fax_number": "512-328-4979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4407 BEE CAVES RD",
            "address_2": "1-112",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "78746",
            "telephone_number": "512-328-4999",
            "fax_number": "512-328-4979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUSTIN ASSOCIATION OF OTOLARYNGOLOGISTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-13",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "LEWIS",
        "authorized_official_first_name": "MELBA",
        "authorized_official_middle_name": "F.",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "512-328-4999",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "TX",
            "license": "H2558",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUELINK",
            "identifier": "3277078",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Specialist in Austin, TX
• Providers in Austin, TX by specialty
• Specialist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.