AUSTIN DIAGNOSTIC CLINIC, PA – NPI #1487632618
Internal Medicine

An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.

Health Care Provider Taxonomy Code for Internal Medicine

AUSTIN DIAGNOSTIC CLINIC, PA is a provider located in AUSTIN, TX. NPPES has assigned the NPI number 1487632618 to AUSTIN DIAGNOSTIC CLINIC, PA on January 06, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207RH0003X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Hematology & Oncology

The NPI profile was previously updated about 16 years ago on Nov 15, 2010. 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 AUSTIN DIAGNOSTIC CLINIC, PA below.

NPI Profile for
AUSTIN DIAGNOSTIC CLINIC, PA

NPI Number
1487632618
Enumeration Date

(more than 20 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
AUSTIN DIAGNOSTIC CLINIC, PA
Primary location
12221 N MO PAC EXPY
DEPT OF HEMATOLOGY/ONCOLOGY
AUSTIN, TX 78758-2483
Phone: (512) 901-4008 Fax: (512) 901-3908
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
ELLEN ANDREW
CREDENTIALING SPECIALIST
Phone: (512) 901-4937
Updated
Identifiers

Identifiers for AUSTIN DIAGNOSTIC CLINIC, PA

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDTX140347921
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
207RH0003X
- Internal Medicine / Hematology & Oncology (Primary)
363A00000X
- Physician Assistant

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.