Active NPI
Marjorie E Viscardi, MD
- Family Medicine Physician
- Austin, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- J2400
- Practice address
- 5701 W Slaughter LN BLDG C
Austin, TX 78749-6528 - Phone
- (512) 334-2509
- Fax
- (512) 334-2589
- NPI assigned
- Dec 8, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 54566 | AZ | |
| Family Medicine Physician | 207Q00000X | J2400 | TX | Primary |
Addresses
Primary practice location
5701 W Slaughter LN BLDG C
Austin, TX 78749-6528
Mailing address
706 W Ben White Blvd
Ste a
Austin, TX 78704-8144
Phone (512) 334-2509
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 135951509 | Medicaid | TX | |
| J2400 | Other | TX | MEDICAL LICENSE |
| P01330571 | Other | TX | RRMC PTAN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX, AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 54566 | AZ | MD | Family Medicine Physician |
| J2400 | TX | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Signify Health Medical Associates, PLLC | Current | Accepting new patients | |
| Vpa of Texas PLLC | Current | Accepting new patients | |
| Vpa of Texas PLLC | Family Medicine | Current | Accepting new patients |
| St. David'S Carenow Urgent Care PLLC | Family Medicine | Current | Accepting new patients |
| Signify Health, LLC | Current | Accepting new patients | |
| Austin Diagnostic Clinic, PA | Past | Accepting new patients |
Locations
2705 S Alma School Rd
Chandler, AZ 85286
Phone (480) 820-7246
3800 N Central Ave
Ste 460
Phoenix, AZ 85012
Phone (469) 466-7006
11521 N Ranch Road 620
Ste 100
Austin, TX 78726
Phone (512) 402-6830
5033 W Highway 290
Austin, TX 78735
Phone (512) 265-8980
5001 183A Toll Rd
Ste R100
Cedar Park, TX 78613
Phone (512) 595-7000
4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037
4545 Fuller Dr
Ste 325
Irving, TX 75038
Phone (972) 870-5511
135 Bunton Creek Rd
Ste 10
Kyle, TX 78640
Phone (512) 268-2091
135 Bunton Creek Rd
Ste 102
Kyle, TX 78640
Phone (512) 268-2091
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Practice Physician
- Dallas, TX
- NPI 1750845863
-
- Family Medicine Physician
- Austin, TX
- NPI 1851844104
-
- Family Medicine Physician
- Irving, TX
- NPI 1679510499
-
- Clinical Social Worker
- San Antonio, TX
- NPI 1578175865
-
- Ambulatory Surgical Clinic/Center
- Austin, TX
- NPI 1619923950
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165536000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1710046206",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "706 W BEN WHITE BLVD",
"address_2": "STE A",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787048144",
"telephone_number": "512-334-2509",
"fax_number": "512-334-2589"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5701 W SLAUGHTER LN BLDG C",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787496528",
"telephone_number": "512-334-2509",
"fax_number": "512-334-2589"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VISCARDI",
"first_name": "MARJORIE",
"middle_name": "E",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-08",
"last_updated": "2023-03-07",
"certification_date": "2021-06-01",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "AZ",
"license": "54566",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TX",
"license": "J2400",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "135951509",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL LICENSE",
"identifier": "J2400",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RRMC PTAN",
"identifier": "P01330571",
"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 Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.