NPIMap

Organization Active NPI

Vesper Medical Care PLLC

  • General Practice Physician
  • Woodway, TX
National Provider Identifier
1164096145
Registry record updated Oct 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
VESPER MEDICAL CARE PLLC
Practice address
8416 Old McGregor Rd
Woodway, TX 76712-6499
Phone
(254) 307-3997
Fax
(254) 300-9935
NPI assigned
May 14, 2021
Last updated
Oct 5, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2023

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

Authorized official

Name
Jonathan D OsborneNPI 1861711673
Title
Owner
Phone
(254) 307-3997

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X Primary
Psychiatric/Mental Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP0808X

Addresses

Primary practice location

8416 Old McGregor Rd
Woodway, TX 76712-6499

Mailing address

8416 Old McGregor Rd
Woodway, TX 76712-6499
Phone (254) 307-3997

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210723000182 TX Part B Supplier - Clinic/Group Practice 4880097237 Receives reassigned benefits from 35 practitioners
Practice locations: Woodway, TX

National Provider Directory

National Provider Directory

Locations

7111 Bosque Blvd
Ste 303
Waco, TX 76710
Phone (254) 307-3997

Practitioners & affiliated clinicians

Practitioners 36

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.

View all 36

NPI Registry JSON

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

{
    "created_epoch": "1620950400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696464000000",
    "number": "1164096145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8416 OLD MCGREGOR RD",
            "city": "WOODWAY",
            "state": "TX",
            "postal_code": "767126499",
            "telephone_number": "254-307-3997",
            "fax_number": "254-300-9935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8416 OLD MCGREGOR RD",
            "city": "WOODWAY",
            "state": "TX",
            "postal_code": "767126499",
            "telephone_number": "254-307-3997",
            "fax_number": "254-300-9935"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VESPER MEDICAL CARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-14",
        "last_updated": "2023-10-05",
        "certification_date": "2023-10-05",
        "status": "A",
        "authorized_official_last_name": "OSBORNE",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "254-307-3997"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodway, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.