Active NPI
Austin E Heerschap
- Medical Physician Assistant
- Flower Mound, TX
National Provider Identifier
1699173062
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- PA09386
- Practice address
- 5000 Long Prairie Rd
Flower Mound, TX 75028-2783 - Phone
- (972) 420-1776
- Fax
- (972) 221-8685
- NPI assigned
- Dec 16, 2014
- Last updated
- Feb 19, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA09386 | TX | |
| Medical Physician Assistant | 363AM0700X | PA09386 | TX | Primary |
Addresses
Primary practice location
5000 Long Prairie Rd
Flower Mound, TX 75028-2783
Mailing address
5000 Long Prairie Rd
Flower Mound, TX 75028-2783
Phone (972) 420-1776
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 385783YK02 | Other | TX | MEDICARE PTAN INDIVIDUAL |
| 1588749766 | Other | TX | NPI TYPE 2 GROUP EMPLOYER |
| 00317Y | Other | MEDICARE PTAN EMPLOYER | |
| 1477830677 | Other | TX | NPI TYPE 2 GROUP EMPLOYER |
| PA09386 | Other | TX | PA LICENSE |
Other names 1
- Austin E Heerschap
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Las Colinas Orthopedic Surgery and Sports Medicine P.a. | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba All Star Orthopedic & Sports Medicine
- Specialist
- Irving, TX
- NPI 1952396996
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1418688000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1424304000000",
"number": "1699173062",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5000 LONG PRAIRIE RD",
"city": "FLOWER MOUND",
"state": "TX",
"postal_code": "750282783",
"telephone_number": "972-420-1776",
"fax_number": "972-221-8685"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5000 LONG PRAIRIE RD",
"city": "FLOWER MOUND",
"state": "TX",
"postal_code": "750282783",
"telephone_number": "972-420-1776",
"fax_number": "972-221-8685"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEERSCHAP",
"first_name": "AUSTIN",
"middle_name": "E",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-12-16",
"last_updated": "2015-02-19",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "TX",
"license": "PA09386",
"primary": false
},
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "TX",
"license": "PA09386",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN INDIVIDUAL",
"identifier": "385783YK02",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI TYPE 2 GROUP EMPLOYER",
"identifier": "1588749766",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN EMPLOYER",
"identifier": "00317Y",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI TYPE 2 GROUP EMPLOYER",
"identifier": "1477830677",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PA LICENSE",
"identifier": "PA09386",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "AUSTIN",
"last_name": "HEERSCHAP",
"middle_name": "E",
"credential": "PA-C",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Flower Mound, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.