Austin Southwest Orthopaedic Group, P.a.

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

Legal business name

AUSTIN SOUTHWEST ORTHOPAEDIC GROUP, P.A.

Doing business as

Southwest Orthopaedic Group

Practice address

5200 Davis Lane Suite B200
Austin, TX 78749

Phone

(512) 451-1969

Fax

(512) 458-2327

NPI assigned

Sep 27, 2005

Organization subpart

No

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

Authorized official

Name

Brian L SullivanNPI 1053395079

Title

MD

Phone

(512) 451-1969

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Southwest Orthopaedic Group Doing business as

Medicare fee-for-service enrollment

Enrolled in TX2 enrollments

Enrollment records 2

Locations

Practitioners 8

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.

• Arush K Angirasa, DPM

  • Foot & Ankle Surgery Podiatrist
  • Austin, TX
  • NPI 1740271196
  Medicare reassignment NPD
• Brian L Sullivan, M.D.

  • Orthopaedic Surgery Physician
  • Austin, TX
  • NPI 1053395079
  Authorized official Same address or phone
• Sharon S. Dickmann, MPT

  • Hand Physical Therapist
  • Austin, TX
  • NPI 1396838488
  NPD (past)
• Gilbert R Meadows, M.D.

  • Orthopaedic Surgery of the Spine Physician
  • San Antonio, TX
  • NPI 1174522536
  NPD (past)
• Christina Marie Sheely, D.O.

  • Orthopaedic Surgery Physician
  • Kyle, TX
  • NPI 1154379899
  NPD (past)
• Gregg A Vagner, M.D.

  • Surgery of the Hand (Surgery) Physician
  • Austin, TX
  • NPI 1295705986

  Hand Surgery

  NPD (past)
• Kari McCaffery, OTR

  • Hand Occupational Therapist
  • Enfield, CT
  • NPI 1083941074
  NPD (past)
• Mary Ann Rini, OTR

  • Occupational Therapist
  • Clio, MI
  • NPI 1679629737
  NPD (past)

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

{
    "created_epoch": "1127779200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715904000000",
    "number": "1699761494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7951 SHOAL CREEK BLVD STE 300",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787577582",
            "telephone_number": "512-584-8404",
            "fax_number": "512-458-2327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5200 DAVIS LANE SUITE B200",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "78749",
            "telephone_number": "512-451-1969",
            "fax_number": "512-458-2327"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3101 Highway 71 E Ste 207",
            "address_purpose": "LOCATION",
            "city": "Bastrop",
            "state": "TX",
            "postal_code": "786025157",
            "country_code": "US",
            "telephone_number": "512-451-1969",
            "fax_number": "512-458-2327",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2 Saint Marks Pl Ste 130",
            "address_purpose": "LOCATION",
            "city": "LA Grange",
            "state": "TX",
            "postal_code": "789451259",
            "country_code": "US",
            "telephone_number": "512-451-1969",
            "fax_number": "512-458-2327",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "815 Highway 71",
            "address_2": "Bldg 1, Suite 1150",
            "address_purpose": "LOCATION",
            "city": "Bastrop",
            "state": "TX",
            "postal_code": "78602",
            "country_code": "US",
            "telephone_number": "512-451-1969",
            "fax_number": "512-458-2327",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "AUSTIN SOUTHWEST ORTHOPAEDIC GROUP, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-27",
        "last_updated": "2024-05-17",
        "certification_date": "2021-04-26",
        "status": "A",
        "authorized_official_last_name": "SULLIVAN",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "512-451-1969"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2086S0105X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery, Surgery of the Hand",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0824948-01",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Southwest Orthopaedic Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Austin Sports Medicine LLP

• Orthopaedic Surgery Physician in Austin, TX
• Providers in Austin, TX by specialty
• Orthopaedic Surgery Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2024; 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.