Organization Active NPI

Keith Lamy MD, PA

  • Family Medicine Physician
  • Austin, TX
National Provider Identifier
1821287905
Registry record updated Dec 7, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
L1104 Issued in TX
Legal business name
KEITH LAMY MD, PA
Practice address
1106 Clayton LN Ste 102W
Austin, TX 78723-2433
Phone
(512) 453-7356
Fax
(512) 453-3590
NPI assigned
Oct 15, 2007
Last updated
Dec 7, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2007

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

Authorized official

Name
Ms. Gloria Beene
Title
Office Manager
Phone
(512) 453-7356

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X L1104 TX Primary

Addresses

Primary practice location

1106 Clayton LN Ste 102W
Austin, TX 78723-2433

Mailing address

1106 Clayton LN Ste 102W
Austin, TX 78723-2433
Phone (512) 453-7356

Other names 1

  • FAMILY MEDICINE PRACTICE Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040729001558 TX Part B Supplier - Clinic/Group Practice 3375513955 Receives reassigned benefits from 1 practitioner
Practice locations: Austin, TX

National Provider Directory

National Provider Directory

Locations

704 E Wonsley Dr
Ste 100
Austin, TX 78753
Phone (512) 453-7356

Practitioners & affiliated clinicians

Practitioners 4

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": "1192406400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196985600000",
    "number": "1821287905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1106 CLAYTON LN STE 102W",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787232433",
            "telephone_number": "512-453-7356",
            "fax_number": "512-453-3590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1106 CLAYTON LN STE 102W",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787232433",
            "telephone_number": "512-453-7356",
            "fax_number": "512-453-3590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEITH LAMY MD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-15",
        "last_updated": "2007-12-07",
        "status": "A",
        "authorized_official_last_name": "BEENE",
        "authorized_official_first_name": "GLORIA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "512-453-7356",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "L1104",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FAMILY MEDICINE PRACTICE",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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 7, 2007; 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.