Austin Endometriosis & Female Infertility Center PA

Primary specialty

Gynecology PhysicianTaxonomy code 207VG0400X

License

G2406 Issued in TX

Legal business name

AUSTIN ENDOMETRIOSIS & FEMALE INFERTILITY CENTER PA

Practice address

4303 James Casey St
Suite a
Austin, TX 78145-1188

Phone

(512) 444-1414

Fax

(512) 444-5621

NPI assigned

Sep 20, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Keikhosrow M Kavoussi, M.D.

Title

Owner

Phone

(512) 444-1414

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Austin Endometriosis & Fertility Center PA Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Parviz K Kavoussi, MD

  • Urology Physician
  • Austin, TX
  • NPI 1023271301
  Medicare reassignment
• Kelsey Ann Cathcart

  • Family Nurse Practitioner
  • Austin, TX
  • NPI 1467189837
  NPD (past)
• Mackenzie Cox, NP

  • Nurse Practitioner
  • Austin, TX
  • NPI 1235882309
  NPD (past)
• Kelli Parish, FNP-C

  • Family Nurse Practitioner
  • Round Rock, TX
  • NPI 1972291482
  NPD (past)
• Shahryar Keikhosrow Kavoussi, MD

  • Reproductive Endocrinology Physician
  • Ann Arbor, MI
  • NPI 1083735294
  NPD (past)

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1224720000000",
    "number": "1710085089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4303 JAMES CASEY ST",
            "address_2": "SUITE A",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "781451188",
            "telephone_number": "512-444-1414",
            "fax_number": "512-444-5621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4303 JAMES CASEY ST",
            "address_2": "SUITE A",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "781451188",
            "telephone_number": "512-444-1414",
            "fax_number": "512-444-5621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUSTIN ENDOMETRIOSIS & FEMALE INFERTILITY CENTER PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2008-10-23",
        "status": "A",
        "authorized_official_last_name": "KAVOUSSI",
        "authorized_official_first_name": "KEIKHOSROW",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "512-444-1414",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207VE0102X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology, Reproductive Endocrinology",
            "state": "TX",
            "license": "G2406",
            "primary": false
        },
        {
            "code": "207VG0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "TX",
            "license": "G2406",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "097750603",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Austin Endometriosis & Fertility Center PA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Gynecology Physician in Austin, TX
• Providers in Austin, TX by specialty
• Gynecology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2008; 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.