Organization Active NPI

Oriental Medicine Associates

  • Acupuncturist
  • Georgetown, TX
National Provider Identifier
1972026706
Registry record updated Jun 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC01066 Issued in TX
Legal business name
ORIENTAL MEDICINE ASSOCIATES
Practice address
1821 Westinghouse Rd Ste 1180
Georgetown, TX 78626-7645
Phone
(512) 943-9885
Fax
(512) 670-8907
NPI assigned
Jul 24, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2024

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

Authorized official

Name
Patricia Kathryn Tillery-Kerr, MACOM
Title
Owner
Phone
(512) 943-9885

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193400000X SINGLE SPECIALTY GROUP 171100000X AC01066 TX Primary

Addresses

Primary practice location

1821 Westinghouse Rd Ste 1180
Georgetown, TX 78626-7645

Mailing address

1800 Robb LN
Round Rock, TX 78664-3035
Phone (512) 657-0601

National Provider Directory

National Provider Directory

Locations

212 W 10th St
Georgetown, TX 78626

Practitioners & affiliated clinicians

Practitioners 3

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": "1500854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717718400000",
    "number": "1972026706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 ROBB LN",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786643035",
            "telephone_number": "512-657-0601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1821 WESTINGHOUSE RD STE 1180",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786267645",
            "telephone_number": "512-943-9885",
            "fax_number": "512-670-8907"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORIENTAL MEDICINE ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-24",
        "last_updated": "2024-06-07",
        "certification_date": "2024-06-07",
        "status": "A",
        "authorized_official_last_name": "TILLERY-KERR",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_middle_name": "KATHRYN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "512-943-9885",
        "authorized_official_credential": "MACOM"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": "TX",
            "license": "AC01066",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Georgetown, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2024; 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.