Active NPI
Surgical Specialists of Austin, PLLC
- Physician Assistant
- Austin, TX
National Provider Identifier
1861962292
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- Legal business name
- SURGICAL SPECIALISTS OF AUSTIN, PLLC
- Practice address
- 3267 Bee Caves Rd Ste 107 # 378
Austin, TX 78746-6773 - Phone
- (512) 652-5498
- NPI assigned
- Nov 28, 2018
- 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
- Tim Delong
- Title
- Pams Npi Administrator
- Phone
- (210) 598-2800
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | Primary |
Addresses
Primary practice location
3267 Bee Caves Rd Ste 107 # 378
Austin, TX 78746-6773
Mailing address
3267 Bee Caves Rd Ste 107 # 378
Austin, TX 78746-6773
Phone (512) 652-5498
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1543363200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1543363200000",
"number": "1861962292",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3267 BEE CAVES RD STE 107 # 378",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787466773",
"telephone_number": "512-652-5498"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3267 BEE CAVES RD STE 107 # 378",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787466773",
"telephone_number": "512-652-5498"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SURGICAL SPECIALISTS OF AUSTIN, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-11-28",
"last_updated": "2018-11-28",
"status": "A",
"authorized_official_last_name": "DELONG",
"authorized_official_first_name": "TIM",
"authorized_official_title_or_position": "PAMS NPI ADMINISTRATOR",
"authorized_official_telephone_number": "210-598-2800"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"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 Nov 28, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.