Organization Active NPI

Medicus Partners LLC

Doing business as Austin Midtown Ambulatory Surgery Center

  • Pain Clinic/Center
  • Austin, TX
National Provider Identifier
1689932162
Registry record updated Mar 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Clinic/CenterTaxonomy code 261QP3300X
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

Updated by the provider on Mar 16, 2018

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)CodeLicenseStatePrimary
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 Doing business as

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.