Active NPI
Symphony Healthcare PA
- Family Medicine Physician
- Austin, TX
National Provider Identifier
1730100694
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- SYMPHONY HEALTHCARE PA
- Practice address
- 711 W 38TH St Ste C9
Austin, TX 78705-1137 - Phone
- (512) 454-3500
- Fax
- (512) 590-5324
- NPI assigned
- Jul 23, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Johnnae White
- Title
- Front Office
- Phone
- (512) 454-3500
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary | ||
| Primary Care Clinic/Center | 261QP2300X |
Addresses
Primary practice location
711 W 38TH St Ste C9
Austin, TX 78705-1137
Mailing address
PO Box 269084
Oklahoma City, OK 73126-9084
Phone (512) 454-3500
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 45D1045921 | Other | CLIA | |
| 0018MY | Other | BCBS GROUP |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 45D1046957 | Symphony Healthcare PA | Certificate of waiver | Sep 25, 2027 |
National Provider Directory
National Provider DirectoryLocations
911 W 38th St
Ste 202T
Austin, TX 78705
Phone (512) 785-7115
711 W 38th St
Ste C9
Austin, TX 78705
Phone (512) 454-3500
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Family Medicine Physician
- Austin, TX
- NPI 1235126194
-
- Family Medicine Physician
- Somersworth, NH
- NPI 1659368652
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153612800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1721174400000",
"number": "1730100694",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 269084",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731269084",
"telephone_number": "512-454-3500",
"fax_number": "512-454-3515"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "711 W 38TH ST STE C9",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787051137",
"telephone_number": "512-454-3500",
"fax_number": "512-590-5324"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SYMPHONY HEALTHCARE PA",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-23",
"last_updated": "2024-07-17",
"certification_date": "2024-07-17",
"status": "A",
"authorized_official_last_name": "WHITE",
"authorized_official_first_name": "JOHNNAE",
"authorized_official_title_or_position": "FRONT OFFICE",
"authorized_official_telephone_number": "512-454-3500"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CLIA",
"identifier": "45D1045921",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS GROUP",
"identifier": "0018MY",
"state": null
}
],
"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 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.