MEDICARE: STEVEN K. AUSTIN, MD, PC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RC0000X	Cardiovascular Disease Physician	MD0000022043	TN
2	207RI0011X	Interventional Cardiology Physician	MD0000022043	TN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1427169432
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	STEVEN K. AUSTIN, MD, PC

Provider Business Mailing Address
First Line	:	6031 SHALLOWFORD ROAD
Second Line	:	SUITE 117
City	:	CHATTANOOGA
State	:	TN
Zip	:	37421-1688
Country	:	US
Telephone Number	:	423-495-9581
Fax Number	:	423-495-9583

Provider Business Practice Location Address
First Line	:	6031 SHALLOWFORD ROAD
Second Line	:	SUITE 117
City	:	CHATTANOOGA
State	:	TN
Zip	:	37421-1688
Country	:	US
Telephone Number	:	423-495-9581
Fax Number	:	423-495-9583

Authorized Official
Title or Position	:	BILLING/INSURANCE MANAGER
Name	:	MELISSA R KEITH
Credential	:
Telephone Number	:	423-648-0613

Provider Enumeration Date	:	08/31/2006
Last Update Date	:	03/16/2009

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