NPIMap

Organization Active NPI

Nautilus Health Care Group LLC

  • Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
  • Austin, TX
National Provider Identifier
1881923118
Registry record updated Jun 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Undersea and Hyperbaric Medicine (Preventive Medicine) PhysicianTaxonomy code 2083P0011X
License
N3910 Issued in TX
Legal business name
NAUTILUS HEALTH CARE GROUP LLC
Practice address
211 E 7TH St
Ste 620
Austin, TX 78701-3218
Phone
(727) 867-5480
Fax
(727) 867-5470
NPI assigned
Dec 16, 2009
Last updated
Jun 1, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
NAUTILUS HEALTH CARE GROUP LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 1, 2023

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

Authorized official

Name
Frank Williams
Title
Ceo
Phone
(904) 446-3519

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Wound Care Registered NurseGroup: 193200000X MULTI-SPECIALTY GROUP 163WW0000X N3910 TX
Procedural Dermatology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207NS0135X N3910 TX
Undersea and Hyperbaric Medicine (Preventive Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2083P0011X N3910 TX Primary

Addresses

Primary practice location

211 E 7TH St
Ste 620
Austin, TX 78701-3218

Mailing address

PO Box 530968
St Petersburg, FL 33747-0968
Phone (727) 823-2188

National Provider Directory

National Provider Directory
Tax ID family
Nautilus Health Care Group6 organizations share this tax ID, including this one
Part of
Nautilus Health Care Group

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1260921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1685577600000",
    "number": "1881923118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 530968",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337470968",
            "telephone_number": "727-823-2188",
            "fax_number": "727-828-0723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 E 7TH ST",
            "address_2": "STE 620",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787013218",
            "telephone_number": "727-867-5480",
            "fax_number": "727-867-5470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NAUTILUS HEALTH CARE GROUP LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NAUTILUS HEALTH CARE GROUP LLC",
        "enumeration_date": "2009-12-16",
        "last_updated": "2023-06-01",
        "certification_date": "2023-06-01",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "FRANK",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "904-446-3519"
    },
    "taxonomies": [
        {
            "code": "163WW0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Wound Care",
            "state": "TX",
            "license": "N3910",
            "primary": false
        },
        {
            "code": "207NS0135X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "TX",
            "license": "N3910",
            "primary": false
        },
        {
            "code": "2083P0011X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Preventive Medicine, Undersea and Hyperbaric Medicine",
            "state": "TX",
            "license": "N3910",
            "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 Jun 1, 2023; 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.