Organization Active NPI

Christine M. Eady, P.a.

  • Family Medicine Physician
  • Austin, TX
National Provider Identifier
1710167408
Registry record updated Jul 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
K5095 Issued in TX
Legal business name
CHRISTINE M. EADY, P.A.
Practice address
15808 Highway RR 620 N Ste 100
Austin, TX 78717-4923
Phone
(512) 733-2600
Fax
(512) 733-2604
NPI assigned
Nov 9, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2008

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

Authorized official

Name
Dr. Christine M. Eady, D.O.
Title
Physician
Phone
(512) 733-2600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X K5095 TX Primary

Addresses

Primary practice location

15808 Highway RR 620 N Ste 100
Austin, TX 78717-4923

Mailing address

15808 Highway RR 620 N
Suite 100
Austin, TX 78717-4922
Phone (512) 733-2600

Other identifiers 2

IdentifierTypeStateIssuer
82561XOtherTXBCBS
041005202MedicaidTX

Other names 1

  • CHRISTINE M. EADY, D.O. Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1194566400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214870400000",
    "number": "1710167408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15808 HIGHWAY RR 620 N",
            "address_2": "SUITE 100",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787174922",
            "telephone_number": "512-733-2600",
            "fax_number": "512-733-2604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15808 HIGHWAY RR 620 N STE 100",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787174923",
            "telephone_number": "512-733-2600",
            "fax_number": "512-733-2604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRISTINE M. EADY, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-09",
        "last_updated": "2008-07-01",
        "status": "A",
        "authorized_official_last_name": "EADY",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "512-733-2600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "K5095",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "82561X",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "041005202",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CHRISTINE M. EADY, D.O.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 1, 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.