Golden Triangle Surg & Vasc Assoc PLLC

Primary specialty

Vascular Surgery PhysicianTaxonomy code 2086S0129X

Legal business name

GOLDEN TRIANGLE SURG & VASC ASSOC PLLC

Practice address

6025 Metropolitan Dr Ste 205
Beaumont, TX 77706-2409

Phone

(409) 617-7700

NPI assigned

Jun 22, 2021

Organization subpart

No

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

Authorized official

Name

Dr. Sharad Sharma, MD

Title

Director

Phone

(409) 502-9608

Specialties & licenses 1

Addresses

Other names 1

• none Doing business as

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

{
    "created_epoch": "1624320000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1624320000000",
    "number": "1376112573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3501 QUEENSBURG LN",
            "city": "FRIENDSWOOD",
            "state": "TX",
            "postal_code": "775462227",
            "telephone_number": "409-502-9608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6025 METROPOLITAN DR STE 205",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777062409",
            "telephone_number": "409-617-7700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLDEN TRIANGLE SURG & VASC ASSOC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-22",
        "last_updated": "2021-06-22",
        "certification_date": "2021-06-21",
        "status": "A",
        "authorized_official_last_name": "SHARMA",
        "authorized_official_first_name": "SHARAD",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "409-502-9608",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery, Vascular Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "none",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Golden Triangle Living Centers, Inc.
• Golden Triangle Living Centers, Inc.
• Golden Triangle Living Centers, Inc.
• Golden Triangle Living Centers, Inc.
• Golden Triangle Neurocare LLP
• Golden Triangle Surgery Center, LLC
• Amber Tenille Goldsmith, FNP
• Jonathon Gomez, M.D.
• Gaylon Albert Gonzales, MD
• Alyssa Gonzalez, FNP-C

• All providers in Beaumont, TX
• Vascular Surgery Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2021; 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.