Austin Urogynecology, PLLC

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

Legal business name

AUSTIN UROGYNECOLOGY, PLLC

Practice address

12319 N. Mopac Expwy
Ste 200
Austin, TX 78758

Phone

(512) 973-8276

Fax

(512) 973-3036

NPI assigned

Feb 9, 2010

Organization subpart

No

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

Authorized official

Name

Caroline Domin

Title

Manager

Phone

(512) 973-8276

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/16890/brand/1/csg/1/fhir/r4

Practitioners 5

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

• Rebekah Kristine Longshore

  • Adult Health Nurse Practitioner
  • Austin, TX
  • NPI 1588894612
  Medicare reassignment Care Compare group NPD
• Julianna Hope Monceaux, FNP-C

  • Nurse Practitioner
  • Austin, TX
  • NPI 1720627870
  Medicare reassignment Care Compare group NPD
• George Leor Shashoua, MD

  • Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
  • Austin, TX
  • NPI 1245379551
  Medicare reassignment Care Compare group NPD
• Barry Alexander Hughes

  • Family Nurse Practitioner
  • Austin, TX
  • NPI 1790392264
  NPD (past)
• Koushik K. Shaw, MD

  • Urology Physician
  • Austin, TX
  • NPI 1811954423
  NPD (past)

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

{
    "created_epoch": "1265673600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1378166400000",
    "number": "1881926244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12319 N. MOPAC EXPWY",
            "address_2": "STE 200",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "78758",
            "telephone_number": "512-973-8276",
            "fax_number": "512-973-3036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12319 N. MOPAC EXPWY",
            "address_2": "STE 200",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "78758",
            "telephone_number": "512-973-8276",
            "fax_number": "512-973-3036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUSTIN UROGYNECOLOGY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-09",
        "last_updated": "2013-09-03",
        "status": "A",
        "authorized_official_last_name": "DOMIN",
        "authorized_official_first_name": "CAROLINE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "512-973-8276"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Austin Travis County MHMR Center
• Austin Travis County MHMR Center
• Austin Travis County MHMR Center
• Austin Treatment Centers LLC
• Austin Urban Sanctuary, PLLC
• Austin Urological Associates P.a.
• Austin Urology Institute, PA
• Austin Vascular Institute PA
• Austin Vision Center
• Austin Vitality Counseling

• Obstetrics & Gynecology Physician in Austin, TX
• Providers in Austin, TX by specialty
• Obstetrics & Gynecology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.