Organization Active NPI

Provectus Medical Inc

  • Surgery Physician
  • Baytown, TX
National Provider Identifier
1134461254
Registry record updated Mar 27, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
PROVECTUS MEDICAL INC
Practice address
6232 N Highway 146
Baytown, TX 77523-1000
Phone
(409) 832-4413
Fax
(409) 212-1579
NPI assigned
Mar 27, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Robert Alan O'Neal, D.C.NPI 1952324162
Title
President
Phone
(409) 839-4600

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208600000X TX Primary

Addresses

Primary practice location

6232 N Highway 146
Baytown, TX 77523-1000

Mailing address

6232 N Highway 146
Baytown, TX 77523-1000
Phone (409) 832-4413

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1364342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1364342400000",
    "number": "1134461254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6232 N HIGHWAY 146",
            "city": "BAYTOWN",
            "state": "TX",
            "postal_code": "775231000",
            "telephone_number": "409-832-4413",
            "fax_number": "409-212-1579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6232 N HIGHWAY 146",
            "city": "BAYTOWN",
            "state": "TX",
            "postal_code": "775231000",
            "telephone_number": "409-832-4413",
            "fax_number": "409-212-1579"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROVECTUS MEDICAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-27",
        "last_updated": "2013-03-27",
        "status": "A",
        "authorized_official_last_name": "O'NEAL",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "409-839-4600",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baytown, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.