Active NPI
Victoria Sports Medicine, Bone, and Joint Institute, PA
- Orthopaedic Surgery Physician
- Victoria, TX
National Provider Identifier
1366616740
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- A90420
- Legal business name
- VICTORIA SPORTS MEDICINE, BONE, AND JOINT INSTITUTE, PA
- Practice address
- 2700 Citizens PLZ
Suite 404
Victoria, TX 77901-5754 - Phone
- (361) 574-1891
- Fax
- (361) 574-1891
- NPI assigned
- Apr 17, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. James Andrew Shaffer, MD
- Title
- Director
- Phone
- (361) 574-1891
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | A90420 | CA | Primary |
Addresses
Primary practice location
2700 Citizens PLZ
Suite 404
Victoria, TX 77901-5754
Mailing address
2700 Citizens PLZ
Suite 404
Victoria, TX 77901-5754
Phone (361) 574-1891
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1208390400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1277337600000",
"number": "1366616740",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2700 CITIZENS PLZ",
"address_2": "SUITE 404",
"city": "VICTORIA",
"state": "TX",
"postal_code": "779015754",
"telephone_number": "361-574-1891",
"fax_number": "361-574-1891"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2700 CITIZENS PLZ",
"address_2": "SUITE 404",
"city": "VICTORIA",
"state": "TX",
"postal_code": "779015754",
"telephone_number": "361-574-1891",
"fax_number": "361-574-1891"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VICTORIA SPORTS MEDICINE, BONE, AND JOINT INSTITUTE, PA",
"organizational_subpart": "NO",
"enumeration_date": "2008-04-17",
"last_updated": "2010-06-24",
"status": "A",
"authorized_official_last_name": "SHAFFER",
"authorized_official_first_name": "JAMES",
"authorized_official_middle_name": "ANDREW",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "361-574-1891",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Orthopaedic Surgery",
"state": "CA",
"license": "A90420",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Victoria, TX
- Victoria Prosthetics & Orthotics Inc
- Victoria Psychiatric Associates, L.L.P.
- Victoria Radiology Associates
- Victoria Sleep Disorder Center, LP
- Victoria Spinal Care Center
- Victoria Surgery Center
- Victoria Surgical Associates, P.a.
- Victoria Testosterone Center PLLC
- Victoria Texas Home Care Services, LLC
- Victoria TX SNF Management LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.