Austin Internal Medicine Clinic, PA

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

E6239 Issued in TX

Legal business name

AUSTIN INTERNAL MEDICINE CLINIC, PA

Practice address

1701 W Ben White Blvd
Suite 140
Austin, TX 78704-7667

Phone

(512) 441-8666

Fax

(512) 441-8698

NPI assigned

Jul 24, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Tom Martens, DO

Title

President

Phone

(512) 441-8666

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1185235200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209513600000",
    "number": "1982804274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1701 W BEN WHITE BLVD",
            "address_2": "SUITE 140",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787047667",
            "telephone_number": "512-441-8666",
            "fax_number": "512-441-8698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 W BEN WHITE BLVD",
            "address_2": "SUITE 140",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787047667",
            "telephone_number": "512-441-8666",
            "fax_number": "512-441-8698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUSTIN INTERNAL MEDICINE CLINIC, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-24",
        "last_updated": "2008-04-30",
        "status": "A",
        "authorized_official_last_name": "MARTENS",
        "authorized_official_first_name": "TOM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "512-441-8666",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "E6239",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "90QC",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• All providers in Austin, TX
• Internal Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2008; 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.