BODYLOGICMD OF AUSTIN – NPI #1487988424
Internal Medicine

An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.

BODYLOGICMD OF AUSTIN is a provider located in AUSTIN, TX. NPPES has assigned the NPI number 1487988424 to BODYLOGICMD OF AUSTIN on September 23, 2009. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “BODYLOGICMD OF AUSTIN” is a dba name, the actual legal business name for this organization is LISA GORN, D.O., P.A.. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207RE0101X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism

The NPI profile was previously updated about 12 years ago on May 27, 2014. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for BODYLOGICMD OF AUSTIN below.

NPI Profile for
LISA GORN, D.O., P.A.

NPI Number
1487988424
Enumeration Date

(more than 16 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
LISA GORN, D.O., P.A.
Doing Business As (dba): BODYLOGICMD OF AUSTIN
Primary location
3701 EXECUTIVE CENTER DRIVE
SUITE 211
AUSTIN, TX 78731
Phone: (877) 278-3690 Fax: (512) 494-5300
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
LISA GORN
PRESIDENT
Phone: (512) 571-2223
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207RE0101X
- Internal Medicine / Endocrinology, Diabetes & Metabolism (Primary)
TX N3687
174400000X
- Specialist
TX N3687

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.