Lone Star Urogynecology and Continence Center, PLLC

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

L4221 Issued in TX

Legal business name

LONE STAR UROGYNECOLOGY AND CONTINENCE CENTER, PLLC

Doing business as

Central Texas Urogynecology and Continence Center, PLLC

Practice address

3407 Glenview Ave
Austin, TX 78703-1448

Phone

(512) 716-0861

Fax

(866) 765-3913

NPI assigned

Jul 24, 2007

Last updated

Feb 9, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Tomas G Antonini, MDNPI 1265494827

Title

President

Phone

(512) 716-0861

Specialties & licenses 1

Addresses

Other names 1

• Central Texas Urogynecology and Continence Center, PLLC Doing business as

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

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Tomas G Antonini, MD

  • Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
  • Austin, TX
  • NPI 1265494827
  Medicare reassignment NPD Authorized official
• Audrey Ann Baum, WHNP-BC

  • Women's Health Nurse Practitioner
  • Round Rock, TX
  • NPI 1295836393
  Medicare reassignment NPD
• Carolyn Louise Hansen

  • Medical Physician Assistant
  • Austin, TX
  • NPI 1801309190
  Medicare reassignment

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

{
    "created_epoch": "1185235200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1549670400000",
    "number": "1912107178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3407 GLENVIEW AVE",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787031448",
            "telephone_number": "512-716-0861",
            "fax_number": "866-765-3913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3407 GLENVIEW AVE",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787031448",
            "telephone_number": "512-716-0861",
            "fax_number": "866-765-3913"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LONE STAR UROGYNECOLOGY AND CONTINENCE CENTER, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-24",
        "last_updated": "2019-02-09",
        "status": "A",
        "authorized_official_last_name": "ANTONINI",
        "authorized_official_first_name": "TOMAS",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "512-716-0861",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "TX",
            "license": "L4221",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Central Texas Urogynecology and Continence Center, PLLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• 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 Feb 9, 2019; 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.