Active NPI
Medicus Partners LLC
Doing business as Austin Midtown Ambulatory Surgery Center
- Pain Clinic/Center
- Austin, TX
National Provider Identifier
1689932162
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Clinic/Center
- Legal business name
- MEDICUS PARTNERS LLC
- Doing business as
- Austin Midtown Ambulatory Surgery Center
- Practice address
- 901 W 38TH St Ste 101
Austin, TX 78705-1164 - Phone
- (512) 992-0027
- Fax
- (512) 291-7562
- NPI assigned
- May 2, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Grant Lee Godby
- Title
- Managing Partner
- Phone
- (512) 653-3459
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Clinic/Center | 261QP3300X | Primary |
Addresses
Primary practice location
901 W 38TH St Ste 101
Austin, TX 78705-1164
Mailing address
901 W 38TH St Ste 101
Austin, TX 78705-1164
Phone (512) 992-0027
Other names 1
- Austin Midtown Ambulatory Surgery Center
National Provider Directory
National Provider DirectoryLocations
901 W 38th St
Ste 101
Austin, TX 78705
Phone (512) 501-2110
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1335916800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1521158400000",
"number": "1689932162",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "901 W 38TH ST STE 101",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787051164",
"telephone_number": "512-992-0027",
"fax_number": "512-291-7562"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "901 W 38TH ST STE 101",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787051164",
"telephone_number": "512-992-0027",
"fax_number": "512-291-7562"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MEDICUS PARTNERS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2012-05-02",
"last_updated": "2018-03-16",
"status": "A",
"authorized_official_last_name": "GODBY",
"authorized_official_first_name": "GRANT",
"authorized_official_middle_name": "LEE",
"authorized_official_title_or_position": "MANAGING PARTNER",
"authorized_official_telephone_number": "512-653-3459",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "261QP3300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Pain",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Austin Midtown Ambulatory Surgery Center",
"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 Mar 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.