Organization Active NPI

McNeil Pediatrics PA

  • Pediatrics Physician
  • Austin, TX
National Provider Identifier
1992046239
Registry record updated Mar 12, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
MCNEIL PEDIATRICS PA
Practice address
6610 McNeil Dr
Austin, TX 78729-7767
Phone
(512) 560-1964
NPI assigned
Mar 12, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2013

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

Authorized official

Name
Glenn G Wood, MD
Title
Owner
Phone
(512) 560-1964

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X Primary

Addresses

Primary practice location

6610 McNeil Dr
Austin, TX 78729-7767

Mailing address

6610 McNeil Dr
Austin, TX 78729-7767
Phone (512) 560-1964

National Provider Directory

National Provider Directory

Locations

6610 McNeil Dr
Austin, TX 78729
Phone (512) 560-1964

NPI Registry JSON

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

{
    "created_epoch": "1363046400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1363046400000",
    "number": "1992046239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6610 MCNEIL DR",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787297767",
            "telephone_number": "512-560-1964"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6610 MCNEIL DR",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787297767",
            "telephone_number": "512-560-1964"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCNEIL PEDIATRICS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-12",
        "last_updated": "2013-03-12",
        "status": "A",
        "authorized_official_last_name": "WOOD",
        "authorized_official_first_name": "GLENN",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "512-560-1964",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Mar 12, 2013; 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.