AUSTIN ENDOMETRIOSIS & FEMALE INFERTILITY CENTER PA (NPI# 1710085089) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710085089 |
| Entity Type | Organization |
| Organization Name | AUSTIN ENDOMETRIOSIS & FEMALE INFERTILITY CENTER PA |
| Other Organization Name | AUSTIN ENDOMETRIOSIS & FERTILITY CENTER PA |
| Practice Address |
4303 James Casey St Suite A Austin TX 78145-1188 |
| Practice Telephone | 5124441414 |
| Practice Fax Number | 5124445621 |
| Mailing Telephone | 5124441414 |
| Mailing Fax Number | 5124445621 |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2008-10-23 |
| Authorized Official Name | DR. KEIKHOSROW M KAVOUSSI (OWNER) |
| Authorized Official Telephone | 5124441414 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207VE0102X |
Obstetrics & Gynecology Specialization: Reproductive Endocrinology |
G2406 | TX | Allopathic & Osteopathic Physicians |
| Y | 207VG0400X |
Obstetrics & Gynecology Specialization: Gynecology |
G2406 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 097750603 | 05 |
| Other Name | Type Code |
|---|---|
| Austin Endometriosis & Fertility Center PA | Doing Business As Name - Organization |
| Street Address |
4303 JAMES CASEY ST SUITE A |
| City | AUSTIN |
| State | TX |
| Zip Code | 78145-1188 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023271301 | Parviz K Kavoussi | Urology | 4303 James Casey St, Suite B, Austin, TX 78745-1188 | 2008-07-07 |
| 1013102904 | Keikhosrow M Kavoussi | Obstetrics & Gynecology | 4303 James Casey St, Suite A, Austin, TX 78745 | 2007-09-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366825085 | Pawnee Independent School District | Local Education Agency (LEA) | 6229 Fm 569, Pawnee, TX 78145-0569 | 2015-06-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033710892 | Anew Era Tms & Psychiatry of Texas, Pa | Psychiatry & Neurology | 7514 N Mopac Expressway, Suite 100, Austin, TX 78731 | 2020-11-06 |
| 1063013985 | Kyle Allan Mccall | Counselor | 5015 S Ih 35 Frontage Rd, Suite 200, Austin, TX 78744 | 2020-11-06 |
| 1194326926 | Janai June Bryan | Social Worker | 2312 Western Trails Blvd Ste B204, Austin, TX 78745-1677 | 2020-11-06 |
| 1407457385 | Rachel Marie Trembley | Counselor | 10403 School House Ln, Austin, TX 78750-1728 | 2020-11-05 |
| 1619578614 | Naquasha Riser | Counselor | 9415 Mcneil Dr Apt 623, Austin, TX 78750-8560 | 2020-11-05 |
| 1891396834 | Shine Foot and Ankle Center | Podiatrist | 11614 Fm 2244 Rd Ste 150, Austin, TX 78738-5471 | 2020-11-05 |
| 1205437266 | Whitney Diane Cauley | Acupuncturist | 3006 Bee Caves Rd Ste A213, Austin, TX 78746-5651 | 2020-11-05 |
| 1790386779 | Daniela Rubiano Mejia | Dentist | 505 W Louis Henna Blvd Ste 505, Austin, TX 78728-1701 | 2020-11-05 |
| 1750982922 | Kaitlyn Reithmeier | Occupational Therapist | 13001 Hymeadow Dr Unit 37, Austin, TX 78729-1778 | 2020-11-04 |
| 1093316499 | Gold Standard Therapy, Pllc | Home Health | 102 Salinas Cv, Austin, TX 78738-1781 | 2020-11-03 |
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| Taxonomy Code | 207VG0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Gynecology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659682045 | Urogyn Diagnostics, LLC | Obstetrics & Gynecology | 2502 Oestrick Ln, Austin, TX 78733-2121 | 2010-06-30 |
| 1043450430 | Van Van Nguyen Md Pa | Obstetrics & Gynecology | 8741 N Lamar Blvd, Austin, TX 78753-5423 | 2009-02-25 |
| 1902986276 | Lester J Minto | Obstetrics & Gynecology | 8401 N I H 35, Suite 200, Austin, TX 78753-5751 | 2006-10-17 |
| 1679561922 | Gary Hideo Urano | Obstetrics & Gynecology | 3016 Guadalupe St, Suite B100, Austin, TX 78705-2862 | 2005-10-11 |
| 1861493751 | Edward Allen Morgan | Obstetrics & Gynecology | 1910 W 35th St, Austin, TX 78703-1324 | 2005-08-02 |
| 1255336855 | Lendol L. 'tad' Davis | Obstetrics & Gynecology | 1902 S Ih 35, Austin, TX 78704-3628 | 2005-06-20 |
| 1861992497 | Lotus Wellness and Health Pllc | Obstetrics & Gynecology | 3407 Glenview Ave, Austin, TX 78703-1448 | 2018-02-20 |
| 1699273557 | Natalie Baldwin | Obstetrics & Gynecology | 1007 E 41st St, Austin, TX 78751-4809 | 2018-01-25 |
| 1215204540 | Premier Gynecology of Austin | Obstetrics & Gynecology | 1010 W 9th St, Austin, TX 78703-4924 | 2011-12-01 |
| 1083902068 | Christina Alicia Salazar | Obstetrics & Gynecology | 1601 Trinity St, Austin, TX 78712-1765 | 2011-07-12 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.