Organization Active NPI

Renaissance Women'S Group PA

  • Obstetrics & Gynecology Physician
  • Austin, TX
National Provider Identifier
1720118177
Registry record updated Oct 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
Legal business name
RENAISSANCE WOMEN'S GROUP PA
Practice address
12201 Renfert Way Ste 340
Austin, TX 78758-5369
Phone
(512) 425-3818
Fax
(512) 425-3888
NPI assigned
Mar 6, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2008

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

Authorized official

Name
Dr. Byron G Darby, MDNPI 1417959669
Title
Ceo
Phone
(512) 425-3818

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X Primary

Addresses

Primary practice location

12201 Renfert Way Ste 340
Austin, TX 78758-5369

Mailing address

12201 Renfert Way Ste 340
Austin, TX 78758-5369
Phone (512) 425-3818

Other identifiers 1

IdentifierTypeStateIssuer
085526401MedicaidTX

National Provider Directory

National Provider Directory

Locations

12201 Renfert Way
Ste 340
Austin, TX 78758
Phone (512) 425-3835

12201 Renfert Way
Ste 205
Austin, TX 78758

Practitioners & affiliated clinicians

Practitioners 9

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": "1173139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225324800000",
    "number": "1720118177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12201 RENFERT WAY STE 340",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787585369",
            "telephone_number": "512-425-3818",
            "fax_number": "512-425-3888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12201 RENFERT WAY STE 340",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787585369",
            "telephone_number": "512-425-3818",
            "fax_number": "512-425-3888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENAISSANCE WOMEN'S GROUP PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-06",
        "last_updated": "2008-10-30",
        "status": "A",
        "authorized_official_last_name": "DARBY",
        "authorized_official_first_name": "BYRON",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "512-425-3818",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "085526401",
            "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 Oct 30, 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.