Active NPI
Terence Phillip Macconnell, MD
- General Practice Physician
- Austin, TX
National Provider Identifier
1720139116
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- E4494
- Practice address
- 13831 N Highway 183
Austin, TX 78750-1202 - Phone
- (512) 250-0424
- Fax
- (512) 219-0192
- NPI assigned
- Jan 14, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | E4494 | TX | Primary |
Addresses
Primary practice location
13831 N Highway 183
Austin, TX 78750-1202
Mailing address
300 Terry LN
Leander, TX 78641-8539
Phone (512) 259-2725
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mec Associates of Austin, L.L.P. | General Practice | Past | Accepting new patients |
Organizations & group practices 1
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
- Austin, TX
- NPI 1134268048
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168732800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1720139116",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 TERRY LN",
"city": "LEANDER",
"state": "TX",
"postal_code": "786418539",
"telephone_number": "512-259-2725"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13831 N HIGHWAY 183",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787501202",
"telephone_number": "512-250-0424",
"fax_number": "512-219-0192"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MACCONNELL",
"first_name": "TERENCE",
"middle_name": "PHILLIP",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-14",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "TX",
"license": "E4494",
"primary": true
}
],
"identifiers": [],
"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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.