Organization Active NPI

Anthony R. Bittar, M.D, P.a.

  • Otolaryngology Physician
  • Austin, TX
National Provider Identifier
1699701193
Registry record updated Jul 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
G7621 Issued in TX
Legal business name
ANTHONY R. BITTAR, M.D, P.A.
Practice address
4101 James Casey St
Ste 310
Austin, TX 78745-1145
Phone
(512) 448-4422
Fax
(512) 448-4463
NPI assigned
Jun 25, 2006
Last updated
Jul 6, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2012

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

Authorized official

Name
Mrs. Sara Beatrice Wersinger
Title
Office Manager, M.a.
Phone
(512) 448-4422

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Y00000X G7621 TX Primary

Addresses

Primary practice location

4101 James Casey St
Ste 310
Austin, TX 78745-1145

Mailing address

4101 James Casey Street
Ste 310
Austin, TX 78745-1145
Phone (512) 448-4422

Other identifiers 1

IdentifierTypeStateIssuer
0082PZOtherTXBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20081210000469 TX Part B Supplier - Clinic/Group Practice 3375604234 Receives reassigned benefits from 1 practitioner
Practice locations: Austin, TX

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1151193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1341532800000",
    "number": "1699701193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4101 JAMES CASEY STREET",
            "address_2": "STE 310",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787451145",
            "telephone_number": "512-448-4422",
            "fax_number": "512-448-4463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4101 JAMES CASEY ST",
            "address_2": "STE 310",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787451145",
            "telephone_number": "512-448-4422",
            "fax_number": "512-448-4463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANTHONY R. BITTAR, M.D, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-25",
        "last_updated": "2012-07-06",
        "status": "A",
        "authorized_official_last_name": "WERSINGER",
        "authorized_official_first_name": "SARA",
        "authorized_official_middle_name": "BEATRICE",
        "authorized_official_title_or_position": "OFFICE MANAGER, M.A.",
        "authorized_official_telephone_number": "512-448-4422",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology",
            "state": "TX",
            "license": "G7621",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0082PZ",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Jul 6, 2012; 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.