Active NPI
Central Texas Emergency Medical Associates PA
- Emergency Medicine Physician
- Austin, TX
National Provider Identifier
1780073726
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- Legal business name
- CENTRAL TEXAS EMERGENCY MEDICAL ASSOCIATES PA
- Practice address
- 5700 W Slaughter LN
Austin, TX 78749-6520 - Phone
- (925) 925-1600
- Fax
- (925) 924-0506
- NPI assigned
- Jan 14, 2015
- Last updated
- Jan 27, 2016
- 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
- Mr. Kristopher M. Smith
- Title
- Cfo
- Phone
- (925) 924-1600
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | |||
| Nurse Practitioner | 363L00000X | |||
| Emergency Medicine Physician | 207P00000X | Primary |
Addresses
Primary practice location
5700 W Slaughter LN
Austin, TX 78749-6520
Mailing address
5000 Hopyard Rd
Suite 100
Pleasanton, CA 94588-3348
Phone (925) 925-1600
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 348096401 | Medicaid | TX |
National Provider Directory
National Provider DirectoryLocations
5000 Hopyard Rd
Ste 100
Pleasanton, CA 94588
Phone (800) 617-7717
5700 W Slaughter Ln
Austin, TX 78749
Phone (925) 925-1600
5700 W Slaughter Ln
Ste 260
Austin, TX 78749
Phone (512) 268-3824
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.
-
- Emergency Medicine Physician
- Norman, OK
- NPI 1689660847
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1421193600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1453852800000",
"number": "1780073726",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5000 HOPYARD RD",
"address_2": "SUITE 100",
"city": "PLEASANTON",
"state": "CA",
"postal_code": "945883348",
"telephone_number": "925-925-1600",
"fax_number": "925-924-0506"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5700 W SLAUGHTER LN",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787496520",
"telephone_number": "925-925-1600",
"fax_number": "925-924-0506"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CENTRAL TEXAS EMERGENCY MEDICAL ASSOCIATES PA",
"organizational_subpart": "NO",
"enumeration_date": "2015-01-14",
"last_updated": "2016-01-27",
"status": "A",
"authorized_official_last_name": "SMITH",
"authorized_official_first_name": "KRISTOPHER",
"authorized_official_middle_name": "M.",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "925-924-1600",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": null,
"license": null,
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "348096401",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Austin, TX
- Central Texas Community Health Centers
- Central Texas Community Health Centers
- Central Texas Community Health Centers
- Central Texas Community Health Centers (CommUnityCare)
- Central Texas Diabetes and Nutrition Specialists
- Central Texas Geriatric Behavioral Health
- Central Texas Home Wound Care PLLC
- Central Texas Hospital Physicians
- Central Texas Imaging Group
- Central Texas Integrated Center PLLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.