Organization Active NPI

Victoria Sports Medicine, Bone, and Joint Institute, PA

  • Orthopaedic Surgery Physician
  • Victoria, TX
National Provider Identifier
1366616740
Registry record updated Jun 24, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
A90420 Issued in CA
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

Updated by the provider on Jun 24, 2010

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)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

NPI 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

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.

Verify at the official NPI Registry.