PREMIER GYNECOLOGY – NPI #1902119639
Obstetrics & Gynecology

A physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions.

PREMIER GYNECOLOGY is a provider located in AUSTIN, TX. NPPES has assigned the NPI number 1902119639 to PREMIER GYNECOLOGY on July 22, 2010. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “PREMIER GYNECOLOGY” is a dba name, the actual legal business name for this organization is PREMIER GYNECOLOGY OF AUSTIN. The primary taxonomy selected by this provider is 207VG0400X from the Health Care Provider Taxonomy code set, which is classified as Obstetrics & Gynecology, specializing in Gynecology

The NPI profile was previously updated about 16 years ago on Jul 28, 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 PREMIER GYNECOLOGY below.

NPI Profile for
PREMIER GYNECOLOGY OF AUSTIN

NPI Number
1902119639
Enumeration Date

(about 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
PREMIER GYNECOLOGY OF AUSTIN
Doing Business As (dba): PREMIER GYNECOLOGY
Primary location
1010 W 9TH ST
AUSTIN, TX 78703-4924
Phone: (512) 299-5955 Fax:
Mailing address
2416 SHIRE RIDGE DR
AUSTIN, TX 78732-2062
Phone: (512) 299-5955 Fax:
Organization Subpart
No
Authorized Official
SCREVEN EDGERTON
CEO
Phone: (512) 299-5955
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
207VG0400X
- Obstetrics & Gynecology / Gynecology (Primary)
TX M1080

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.