Individual provider Active NPI

Sharon R McGeeney, D.O.

  • Internal Medicine Physician
  • Austin, TX
National Provider Identifier
1780748673
Registry record updated Dec 12, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
K9611 Issued in TX
Practice address
7800 Shoal Creek Blvd Ste 130W
Austin, TX 78757-1040
Phone
(512) 407-8880
Fax
(512) 407-8681
NPI assigned
Dec 22, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X K9611 TX Primary

Addresses

Primary practice location

7800 Shoal Creek Blvd Ste 130W
Austin, TX 78757-1040

Mailing address

PO Box 1239
Troy, MI 48099-1239
Phone (248) 824-6600

Other identifiers 2

IdentifierTypeStateIssuer
00486XOtherTXBCBS
047431403MedicaidTX

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 Osteopathy

State licenses

LicenseStateTypeSpecialty
K9611TXMDInternal Medicine Physician
K9644TXMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Conviva Medical Center Management of Texas, P.a. Internal Medicine Current Accepting new patients
Inpatient Medicine Physicians PA PastSince Apr 1, 2024 Accepting new patients
Lone Star Extensivists PLLC Internal Medicine PastSince Sep 1, 2024 Accepting new patients

Locations

414 Navarro St
Ste 809
San Antonio, TX 78205
Phone (210) 225-4810

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1166745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1418342400000",
    "number": "1780748673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1239",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480991239",
            "telephone_number": "248-824-6600",
            "fax_number": "877-473-8164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7800 SHOAL CREEK BLVD STE 130W",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787571040",
            "telephone_number": "512-407-8880",
            "fax_number": "512-407-8681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCGEENEY",
        "first_name": "SHARON",
        "middle_name": "R",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-22",
        "last_updated": "2014-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "K9611",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "00486X",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "047431403",
            "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 Dec 12, 2014; 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.