Individual provider Active NPI

Angela Shih Famechon, M.D.

  • Internal Medicine Physician
  • Austin, TX
National Provider Identifier
1912011271
Registry record updated Sep 1, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
L3824 Issued in TX
Practice address
11673 Jollyville Rd
Suite B 101
Austin, TX 78759-4200
Phone
(512) 339-1535
Fax
(512) 339-1526
NPI assigned
Aug 17, 2006
Last updated
Sep 1, 2009By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 1, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X L3824 TX Primary

Addresses

Primary practice location

11673 Jollyville Rd
Suite B 101
Austin, TX 78759-4200

Mailing address

11673 Jollyville Rd
Suite B 101
Austin, TX 78759-4200
Phone (512) 339-1535

Other names 1

  • Angela Shih Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1155772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1251763200000",
    "number": "1912011271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11673 JOLLYVILLE RD",
            "address_2": "SUITE B 101",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787594200",
            "telephone_number": "512-339-1535",
            "fax_number": "512-339-1526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11673 JOLLYVILLE RD",
            "address_2": "SUITE B 101",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787594200",
            "telephone_number": "512-339-1535",
            "fax_number": "512-339-1526"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAMECHON",
        "first_name": "ANGELA",
        "middle_name": "SHIH",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-17",
        "last_updated": "2009-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "L3824",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANGELA",
            "last_name": "SHIH",
            "code": "2",
            "type": "Professional 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 Sep 1, 2009; 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.