Westlake Ivf

Primary specialty

Reproductive Endocrinology PhysicianTaxonomy code 207VE0102X

License

M5277 Issued in TX

Legal business name

WESTLAKE IVF

Practice address

300 Beardsley LN
BLDG B, Ste 200
Austin, TX 78746-4945

Phone

(512) 579-2700

NPI assigned

Aug 22, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Shahryar K Kavoussi, M.D., M.P.H.

Title

Medical Director

Phone

(512) 579-2700

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1313971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1313971200000",
    "number": "1689954745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 BEARDSLEY LN",
            "address_2": "BLDG B, STE 200",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787464945",
            "telephone_number": "512-579-2700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 BEARDSLEY LN",
            "address_2": "BLDG B, STE 200",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787464945",
            "telephone_number": "512-579-2700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTLAKE IVF",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-22",
        "last_updated": "2011-08-22",
        "status": "A",
        "authorized_official_last_name": "KAVOUSSI",
        "authorized_official_first_name": "SHAHRYAR",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "512-579-2700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D., M.P.H."
    },
    "taxonomies": [
        {
            "code": "207VE0102X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology, Reproductive Endocrinology",
            "state": "TX",
            "license": "M5277",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Westlake Endodontics PA
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• Westlake Orthodontic Arts PLLC
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• Westlake Physical Therapy & Wellness, PLLC
• Westlake Psychotherapy of Austin, PLLC

• Reproductive Endocrinology Physician in Austin, TX
• Providers in Austin, TX by specialty
• Reproductive Endocrinology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2011; 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.