Organization Active NPI

Aucutt Surgical Services, PLLC

  • Surgical Physician Assistant
  • Austin, TX
National Provider Identifier
1962988329
Registry record updated Jul 18, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
PA05799 Issued in TX
Legal business name
AUCUTT SURGICAL SERVICES, PLLC
Practice address
6705 Melava CT
Austin, TX 78749-6924
Phone
(407) 415-4160
NPI assigned
Jul 18, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2018

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

Authorized official

Name
Toni Aucutt, PA-C
Title
Owner
Phone
(407) 415-4160

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician AssistantGroup: 193400000X SINGLE SPECIALTY GROUP 363AS0400X PA05799 TX Primary

Addresses

Primary practice location

6705 Melava CT
Austin, TX 78749-6924

Mailing address

6705 Melava CT
Austin, TX 78749-6924
Phone (407) 415-4160

Other identifiers 1

IdentifierTypeStateIssuer
1639230816MedicaidIA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1531872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531872000000",
    "number": "1962988329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6705 MELAVA CT",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787496924",
            "telephone_number": "407-415-4160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6705 MELAVA CT",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787496924",
            "telephone_number": "407-415-4160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUCUTT SURGICAL SERVICES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-18",
        "last_updated": "2018-07-18",
        "status": "A",
        "authorized_official_last_name": "AUCUTT",
        "authorized_official_first_name": "TONI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "407-415-4160",
        "authorized_official_credential": "PA-C"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant, Surgical",
            "state": "TX",
            "license": "PA05799",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1639230816",
            "state": "IA"
        }
    ],
    "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 Jul 18, 2018; 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.