Organization Active NPI

Dr. Eric Tiblier, P.a.

  • Cardiovascular Disease Physician
  • Austin, TX
National Provider Identifier
1922079128
Registry record updated Oct 3, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
J6767 Issued in TX
Legal business name
DR. ERIC TIBLIER, P.A.
Practice address
901 W 38TH St
Suite 400
Austin, TX 78705-1163
Phone
(512) 206-2988
Fax
(512) 206-2983
NPI assigned
Jan 27, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2011

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

Authorized official

Name
Dr. Eric Stuart Tiblier, M.D.NPI 1649241803
Title
Owner/President
Phone
(512) 206-2988

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RC0000X J6767 TX Primary

Addresses

Primary practice location

901 W 38TH St
Suite 400
Austin, TX 78705-1163

Mailing address

901 W 38TH St
Suite 400
Austin, TX 78705-1163
Phone (512) 206-2988

Other identifiers 2

IdentifierTypeStateIssuer
007MQOtherTXBCBS OF TEXAS GROUP #
173181201MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050520000111 TX Part B Supplier - Clinic/Group Practice 9537100466 Receives reassigned benefits from 1 practitioner
Practice locations: Austin, TX; Lakeway, TX

National Provider Directory

National Provider Directory

Locations

901 W 38th St
Ste 400
Austin, TX 78705
Phone (512) 206-2988

3701 N Lamar Blvd
Ste 305
Austin, TX 78705
Phone (512) 206-2988

100 Medical Pkwy
Lakeway, TX 78738
Phone (512) 206-8100

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/1191/brand/1/csg/41/fhir/r4

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1138320000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1317600000000",
    "number": "1922079128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 W 38TH ST",
            "address_2": "SUITE 400",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787051163",
            "telephone_number": "512-206-2988",
            "fax_number": "512-206-2983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 W 38TH ST",
            "address_2": "SUITE 400",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787051163",
            "telephone_number": "512-206-2988",
            "fax_number": "512-206-2983"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. ERIC TIBLIER, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-27",
        "last_updated": "2011-10-03",
        "status": "A",
        "authorized_official_last_name": "TIBLIER",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "STUART",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "512-206-2988",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "TX",
            "license": "J6767",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF TEXAS GROUP #",
            "identifier": "007MQ",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "173181201",
            "state": "TX"
        }
    ],
    "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 Oct 3, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.