Organization Active NPI

Jeffery W. Lamour, DPM, PA

  • Podiatrist
  • Austin, TX
National Provider Identifier
1730141623
Registry record updated Sep 27, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
1322 Issued in TX
Legal business name
JEFFERY W. LAMOUR, DPM, PA
Practice address
8015 Shoal Creek Blvd
#119
Austin, TX 78757-8066
Phone
(512) 451-3668
Fax
(512) 451-1823
NPI assigned
Apr 5, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2011

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

Authorized official

Name
Jeffrey William Lamour, DPM
Title
Owner
Phone
(512) 451-3668

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X 1322 TX Primary

Addresses

Primary practice location

8015 Shoal Creek Blvd
#119
Austin, TX 78757-8066

Mailing address

8015 Shoal Creek Blvd
#119
Austin, TX 78757-8066
Phone (512) 451-3668

Other identifiers 2

IdentifierTypeStateIssuer
0086KPOtherTXBCBS
092771702MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040219000895 TX Part B Supplier - Clinic/Group Practice 6204721004 Receives reassigned benefits from 1 practitioner
Practice locations: Austin, TX; Pflugerville, TX
O20150622001047 TX DME Supplier - Physician - Podiatry 6204721004 Practice locations: Austin, TX

National Provider Directory

National Provider Directory

Locations

8015 Shoal Creek Blvd
Ste 119
Austin, TX 78757
Phone (512) 451-3668

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1144195200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1317081600000",
    "number": "1730141623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8015 SHOAL CREEK BLVD",
            "address_2": "#119",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787578066",
            "telephone_number": "512-451-3668",
            "fax_number": "512-451-1823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8015 SHOAL CREEK BLVD",
            "address_2": "#119",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787578066",
            "telephone_number": "512-451-3668",
            "fax_number": "512-451-1823"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFERY W. LAMOUR, DPM, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-05",
        "last_updated": "2011-09-27",
        "status": "A",
        "authorized_official_last_name": "LAMOUR",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "512-451-3668",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "TX",
            "license": "1322",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0086KP",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "092771702",
            "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 Sep 27, 2011; 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.