Active NPI
Dominion Medical Associates PA
- Family Medicine Physician
- Austin, TX
National Provider Identifier
1841201597
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- K8564
- Legal business name
- DOMINION MEDICAL ASSOCIATES PA
- Practice address
- 6301 W Parmer LN
Suite 102
Austin, TX 78729-6801 - Phone
- (512) 834-9999
- Fax
- (512) 834-9998
- NPI assigned
- Aug 10, 2006
- 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
- Kimberly Warfield, MD
- Title
- President
- Phone
- (512) 834-9999
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | K8564 | TX | Primary |
Addresses
Primary practice location
6301 W Parmer LN
Suite 102
Austin, TX 78729-6801
Mailing address
6301 W Parmer LN
Suite 102
Austin, TX 78729-6801
Phone (512) 834-9999
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0030NV | Other | TX | BCBS |
| 185932402 | Medicaid | TX |
National Provider Directory
National Provider DirectoryLocations
12180 N Mopac Expy
Ste 320
Austin, TX 78758
Phone (512) 834-9999
6301 W Parmer Ln
Ste 102
Austin, TX 78729
Phone (512) 527-6479
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155168000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1209600000000",
"number": "1841201597",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6301 W PARMER LN",
"address_2": "SUITE 102",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787296801",
"telephone_number": "512-834-9999",
"fax_number": "512-834-9998"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6301 W PARMER LN",
"address_2": "SUITE 102",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787296801",
"telephone_number": "512-834-9999",
"fax_number": "512-834-9998"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DOMINION MEDICAL ASSOCIATES PA",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-10",
"last_updated": "2008-05-01",
"status": "A",
"authorized_official_last_name": "WARFIELD",
"authorized_official_first_name": "KIMBERLY",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "512-834-9999",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "TX",
"license": "K8564",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "0030NV",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "185932402",
"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 May 1, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.