Austin Med Group Inc

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

G3185 Issued in FL

Legal business name

AUSTIN MED GROUP INC

Practice address

815 Brazos St Ste a
489
Austin, TX 78701-2514

Phone

(512) 534-1320

NPI assigned

Aug 6, 2012

Organization subpart

No

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

Authorized official

Name

Barry Cloak

Title

Ceo

Phone

(512) 534-1320

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1344211200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1347926400000",
    "number": "1962759241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "815 BRAZOS ST STE A",
            "address_2": "489",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787012514",
            "telephone_number": "512-534-1320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "815 BRAZOS ST STE A",
            "address_2": "489",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787012514",
            "telephone_number": "512-534-1320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUSTIN MED GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-06",
        "last_updated": "2012-09-18",
        "status": "A",
        "authorized_official_last_name": "CLOAK",
        "authorized_official_first_name": "BARRY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "512-534-1320"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Emergency Medicine",
            "state": "FL",
            "license": "G3185",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Emergency Medicine Physician in Austin, TX
• Providers in Austin, TX by specialty
• Emergency Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2012; 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.