AUSTIN CHILDREN'S CLINIC, PA
NPI 1508080516
Pediatrics - Adolescent Medicine in Austin, TX
NPI Status: Active since April 12, 2007
Contact Information
11673 JOLLYVILLE RD
SUITE 104
AUSTIN, TX
ZIP 78759
Phone: (512) 338-5130
Fax: (512) 338-5112
- Organization
- Pediatrics
- Adolescent Medicine
- Accepts Insurance
- CLIA Number: 45D0987623
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 04-26-2026
About AUSTIN CHILDREN'S CLINIC, PA
This page provides the complete NPI Profile along with additional information for Austin Children's Clinic, Pa, a pediatrician established in Austin, Texas operating as a Pediatrics, focusing in adolescent medicine . The healthcare provider is registered in the NPI registry with number 1508080516 assigned on April 2007. The practitioner's primary taxonomy code is 2080A0000X. The provider is registered as an organization and their NPI record was last updated 18 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Mrs. Rebecca Pauline Myers (Office Manager)
- NPI
- 1508080516
- Provider Name
- AUSTIN CHILDREN'S CLINIC, PA
- Entity Type
- Organization
- Location Address
- 11673 JOLLYVILLE RD SUITE 104 AUSTIN, TX 78759
- Location Phone
- (512) 338-5130
- Location Fax
- (512) 338-5112
- Mailing Address
- 11673 JOLLYVILLE RD SUITE 104 AUSTIN, TX 78759
- Mailing Phone
- (512) 338-5130
- Mailing Fax
- (512) 338-5112
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 04-12-2007
- Last Update Date
- 07-12-2007
- Code Navigator
A pediatrician like Austin Children's Clinic, Pa is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, etc.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Pediatrics Adolescent Medicine
- Taxonomy Code
- 2080A0000X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Gold 10 Advanced: $0 PCP + Aetna network + $0 walk-in clinic + Adult Dental + Vision - HMO
- Gold 3 Advanced: Aetna network + $0 walk-in clinic + $0 CVS Health Virtual Care 24/7 - HMO
- Gold 3 Advanced: Aetna network + $0 walk-in clinic + Adult Dental + Vision - HMO
- Gold 4 Advanced: $0 PCP + Aetna network + $0 walk-in clinic + $0 CVS Health Virtual Care 24/7 - HMO
- Gold S: Aetna network + $0 walk-in clinic + $0 CVS Health Virtual Care 24/7 - HMO
- Silver 10 Advanced: $0 PCP + Aetna network + $0 walk-in clinic + $0 CVS Health Virtual Care 24/7 - HMO
- Silver 10 Advanced: $0 PCP + Aetna network + $0 walk-in clinic + Adult Dental + Vision - HMO
- Silver 5 Advanced: Aetna network + $0 walk-in clinic + $0 CVS Health Virtual Care 24/7 - HMO
- Silver S: Aetna network + $0 walk-in clinic + $0 CVS Health Virtual Care 24/7 - HMO
- Silver S: Aetna network + $0 walk-in clinic + $0 CVS Health Virtual Care 24/7 + Adult Dental+Vision - HMO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 45D0987623
- Facility Type
- Physician Office
- Certificate Effective Date
- April 27, 2024
- Certificate Expiration Date
- April 26, 2026
- Laboratory Director
- MARY C. PETROPOULOS MD
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Austin Children's Clinic, Pa to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 5 | 0 | 8 | 0 | 8 | 0 | 5 | 1 | 6 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 5 | 0 | 8 | 0 | 8 | 0 | 5 | 2 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 5 + 0 + 8 + 0 + 8 + 0 + 5 + 2 + 24 = 54 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 54 = 6 | 6 | ||||||||
The NPI number 1508080516 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 12 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1821034661 | AMY JEAN MCCAFFREY M.D. Individual | Obstetrics & Gynecology | 11673 JOLLYVILLE RD SUITE 205 AUSTIN, TX 78759 (512) 338-5161 |
| 1619913340 | IRA SHAPIRO M.D. Individual | Obstetrics & Gynecology | 11673 JOLLYVILLE RD SUITE 205 AUSTIN, TX 78759 (512) 338-5161 |
| 1912011271 | ANGELA SHIH FAMECHON M.D. Individual | Internal Medicine | 11673 JOLLYVILLE RD SUITE B 101 AUSTIN, TX 78759 (512) 339-1535 |
| 1750483707 | MARY CHRIS PETROPOULOS MD Individual | Pediatrics | 11673 JOLLYVILLE RD SUITE 104 AUSTIN, TX 78759 (512) 338-5130 |
| 1487759189 | DR. ANNA ESCAMILLA LCSW, PH.D. Individual | Social Worker (Clinical) | 11673 JOLLYVILLE RD SUITE 204 AUSTIN, TX 78759 (512) 401-0002 |
| 1477601003 | MS. DEE ANN NEWBOLD L.AC. Individual | Acupuncturist | 11673 JOLLYVILLE RD SUITE 201 AUSTIN, TX 78759 (512) 336-7424 |
| 1821112244 | ANGELA SHIH MD PA Organization | Internal Medicine | 11673 JOLLYVILLE RD SUITE B 101 AUSTIN, TX 78759 (512) 339-1535 |
| 1033359534 | HEART CLINIC OF AUSTIN, PA Organization | Internal Medicine (Cardiovascular Disease) | 11673 JOLLYVILLE RD STE 205 B AUSTIN, TX 78759 (512) 345-8888 |
| 1447584479 | DR. ANNA MARIA KROL Individual | Chiropractor | 11673 JOLLYVILLE RD SUITE 202 AUSTIN, TX 78759 (512) 367-9315 |
| 1326299157 | AMY KREYDIN NBCRT, CCAP Individual | Reflexologist | 11673 JOLLYVILLE RD SUITE 201 AUSTIN, TX 78759 (512) 666-9374 |
| 1003977190 | NORTHWEST WOMENS CLINIC P A Organization | Obstetrics & Gynecology | 11673 JOLLYVILLE RD SUITE 205 AUSTIN, TX 78759 (512) 338-5161 |
| 1225296320 | ALICIA GROSSMANN MD Individual | Internal Medicine | 11673 JOLLYVILLE RD SUITE 205 AUSTIN, TX 78759 (512) 568-3565 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1508080516, enumerated in the NPI registry as an "organization" on April 12, 2007
The provider is located at 11673 Jollyville Rd Suite 104 Austin, Tx 78759 and the phone number is (512) 338-5130
This medical organization specializes in Pediatrics with taxonomy code 2080A0000X with a focus in Adolescent Medicine
The provider might be accepting Accepts: Aetna CVS Health. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
The provider's CLIA number is 45D0987623 for a "physician office" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..
This NPI record was last updated on April 12, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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