PREMIER GYNECOLOGY
NPI 1902119639
Obstetrics & Gynecology - Gynecology in Austin, TX
NPI Status: Active since July 22, 2010
- Organization
- Obstetrics & Gynecology
- Gynecology
- Accepts Insurance
- CLIA Number: 45D2029314
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 09-05-2025
About PREMIER GYNECOLOGY
This page provides the complete NPI Profile along with additional information for Premier Gynecology, a women's health care provider established in Austin, Texas operating as a Obstetrics & Gynecology, focusing in gynecology . The healthcare provider is registered in the NPI registry with number 1902119639 assigned on July 2010. The practitioner's primary taxonomy code is 207VG0400X with license number M1080 (TX). The provider is registered as an organization and their NPI record was last updated 15 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 provider's is doing business as Premier Gynecology. The authorized official of this NPI record is Dr. Screven Tracy Edgerton M.d. (Ceo)
- NPI
- 1902119639
- Provider Legal Name
- PREMIER GYNECOLOGY OF AUSTIN
- Other Organization Name
- PREMIER GYNECOLOGY
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 1010 W 9TH ST AUSTIN, TX 78703
- Location Phone
- (512) 299-5955
- Mailing Address
- 2416 SHIRE RIDGE DR AUSTIN, TX 78732
- Mailing Phone
- (512) 299-5955
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 07-22-2010
- Last Update Date
- 07-28-2010
- Code Navigator
Women's health care providers like Premier Gynecology treat and diagnose diseases and conditions that affect a woman's physical and emotional health. Women's health professionals come from a variety of different specialties, including obstetrician/gynecologists, general surgeons, perinatologists, physician assistants, nurse practitioners or nurse midwives. A women's health provider might help you with family planning, breast care, pregnancy and child birth, osteoporosis, menopause, heart disease, 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
Obstetrics & Gynecology Gynecology
- Taxonomy Code
- 207VG0400X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- M1080
- License State
- TX
- Taxonomy Description
- A physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions. Source: National Uniform Claim Committee
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
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
Identifier | Type / Code | Identifier State | Identifier Issuer |
---|---|---|---|
I40491 | MEDICARE UPIN (02) | TX |
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
- 45D2029314
- Facility Type
- Physician Office
- Certificate Effective Date
- September 06, 2023
- Certificate Expiration Date
- September 05, 2025
- Laboratory Director
- SCREVEN T. EDGERTON
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Premier Gynecology 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.
Reviews for PREMIER GYNECOLOGY
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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 | 9 | 0 | 2 | 1 | 1 | 9 | 6 | 3 | 9 |
Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
2 | 9 | 0 | 2 | 2 | 1 | 18 | 6 | 6 | |
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
2 + 9 + 0 + 2 + 2 + 1 + 1 + 8 + 6 + 6 + 24 = 61 | |||||||||
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
70 - 61 = 9 | 9 |
The NPI number 1902119639 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 4 providers are registered at the same or nearby location.
NPI | Name / Type | Taxonomy | Address |
---|---|---|---|
1578791828 | BIO-IDENTIX, PLLC Organization | Preventive Medicine (Public Health & General Preventive Medicine) | 1010 W 9TH ST AUSTIN, TX 78703 (512) 459-4400 |
1518250497 | EDGERTON HEALTH LTD LLP Organization | Obstetrics & Gynecology (Gynecology) | 1010 W 9TH ST AUSTIN, TX 78703 (512) 459-4405 |
1215204540 | PREMIER GYNECOLOGY OF AUSTIN Organization | Acupuncturist | 1010 W 9TH ST AUSTIN, TX 78703 (512) 459-4405 |
1548499056 | MS. HOLLY J STANGER FNP Individual | Nurse Practitioner (Family) | 1010 W 9TH ST AUSTIN, TX 78703 (512) 459-4405 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1902119639, enumerated in the NPI registry as an "organization" on July 22, 2010
The provider is located at 1010 W 9th St Austin, Tx 78703 and the phone number is (512) 299-5955
This medical organization specializes in Obstetrics & Gynecology with taxonomy code 207VG0400X with a focus in Gynecology
The provider might be accepting Accepts: Aetna CVS Health, Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
The provider's CLIA number is 45D2029314 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 July 22, 2010. 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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