Organization Active NPI

Michelle a Irvin MD PA

  • Obstetrics & Gynecology Physician
  • Round Rock, TX
National Provider Identifier
1700056710
Registry record updated Mar 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
H7068 Issued in TX
Legal business name
MICHELLE A IRVIN MD PA
Doing business as
Michelle A Irvin MD PA
Practice address
2410 Round Rock Ave
200
Round Rock, TX 78681-4003
Phone
(512) 341-8001
Fax
(512) 341-8011
NPI assigned
Mar 5, 2008
Last updated
Mar 5, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2008

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

Authorized official

Name
Mrs. Melinda El Stevens
Title
Office Manager
Phone
(512) 341-8001

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 10177 NH
Obstetrics & Gynecology Physician 207V00000X H7068 TX Primary

Addresses

Primary practice location

2410 Round Rock Ave
200
Round Rock, TX 78681-4003

Mailing address

2410 Round Rock Ave
200
Round Rock, TX 78681-4003
Phone (512) 341-8001

Other identifiers 1

IdentifierTypeStateIssuer
0030CQOtherBCBS

Other names 1

  • Michelle A Irvin MD PA Doing business as

National Provider Directory

National Provider Directory

Locations

2410 Round Rock Ave
Ste 200
Round Rock, TX 78681
Phone (512) 341-8001

NPI Registry JSON

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

{
    "created_epoch": "1204675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204675200000",
    "number": "1700056710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2410 ROUND ROCK AVE",
            "address_2": "200",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786814003",
            "telephone_number": "512-341-8001",
            "fax_number": "512-341-8011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2410 ROUND ROCK AVE",
            "address_2": "200",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786814003",
            "telephone_number": "512-341-8001",
            "fax_number": "512-341-8011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHELLE A IRVIN MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-05",
        "last_updated": "2008-03-05",
        "status": "A",
        "authorized_official_last_name": "STEVENS",
        "authorized_official_first_name": "MELINDA",
        "authorized_official_middle_name": "EL",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "512-341-8001",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NH",
            "license": "10177",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "TX",
            "license": "H7068",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0030CQ",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Michelle A Irvin MD PA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Round Rock, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2008; 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.