Organization Active NPI

Austin Medical Group,PLLC

  • Family Medicine Physician
  • Georgetown, TX
National Provider Identifier
1811208697
Registry record updated Jun 28, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
F7516 Issued in TX
Legal business name
AUSTIN MEDICAL GROUP,PLLC
Practice address
7600 Highway 29 W
Suite 5
Georgetown, TX 78628-6937
Phone
(512) 930-0363
Fax
(512) 830-0371
NPI assigned
Jun 28, 2010
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Dr. Love D Paul, MDNPI 1730147018
Title
Owner
Phone
(512) 837-6000

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

National Provider Directory

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X F7516 TX Primary

Addresses

NPPES NPI Registry

Primary practice location

7600 Highway 29 W
Suite 5
Georgetown, TX 78628-6937

Mailing address

7600 Highway 29 W
Suite 5
Georgetown, TX 78628-6937
Phone (512) 930-0363

Other names 1

NPPES NPI Registry
  • COPPER RIDGE MEDICAL CLINIC Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 28, 2010.

{
    "created_epoch": "1277683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277683200000",
    "number": "1811208697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7600 HIGHWAY 29 W",
            "address_2": "SUITE 5",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786286937",
            "telephone_number": "512-930-0363",
            "fax_number": "512-830-0371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7600 HIGHWAY 29 W",
            "address_2": "SUITE 5",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786286937",
            "telephone_number": "512-930-0363",
            "fax_number": "512-830-0371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUSTIN MEDICAL GROUP,PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-28",
        "last_updated": "2010-06-28",
        "status": "A",
        "authorized_official_last_name": "PAUL",
        "authorized_official_first_name": "LOVE",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "512-837-6000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "F7516",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "COPPER RIDGE MEDICAL CLINIC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Georgetown, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2010; 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.