Organization Active NPI

Vascular & General Surgery Associates PA

  • Surgery Physician
  • New Braunfels, TX
National Provider Identifier
1154408540
Registry record updated Oct 27, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
VASCULAR & GENERAL SURGERY ASSOCIATES PA
Practice address
191 N Union Ave
New Braunfels, TX 78130-4447
Phone
(830) 620-1191
Fax
(830) 620-1190
NPI assigned
Nov 1, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2008

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

Authorized official

Name
Dr. Michael Lawrence Tilly, M.D.
Title
President
Phone
(830) 620-1191

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X Primary

Addresses

Primary practice location

191 N Union Ave
New Braunfels, TX 78130-4447

Mailing address

PO Box 311130
New Braunfels, TX 78131-1130
Phone (830) 620-1191

Other identifiers 2

IdentifierTypeStateIssuer
020049264OtherTXMEDICARE RAILROAD
143936601MedicaidTX

National Provider Directory

National Provider Directory

Locations

191 N Union Ave
New Braunfels, TX 78130
Phone (830) 620-1191

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": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225065600000",
    "number": "1154408540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 311130",
            "city": "NEW BRAUNFELS",
            "state": "TX",
            "postal_code": "781311130",
            "telephone_number": "830-620-1191",
            "fax_number": "830-620-1190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "191 N UNION AVE",
            "city": "NEW BRAUNFELS",
            "state": "TX",
            "postal_code": "781304447",
            "telephone_number": "830-620-1191",
            "fax_number": "830-620-1190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VASCULAR & GENERAL SURGERY ASSOCIATES PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2008-10-27",
        "status": "A",
        "authorized_official_last_name": "TILLY",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "LAWRENCE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "830-620-1191",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "020049264",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "143936601",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Braunfels, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2008; 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.