Individual provider Active NPI

Isidra Veve, M.D.

  • Anesthesiology Physician
  • Southlake, TX
National Provider Identifier
1386640753
Registry record updated Jun 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
M7726 Issued in TX
Practice address
410 N Carroll Ave
Suite 170
Southlake, TX 76092-6455
Phone
(817) 442-1250
NPI assigned
Jun 22, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X M7726 TX Primary
Critical Care Medicine (Anesthesiology) Physician 207LC0200X NY1666-57 NY

Addresses

Primary practice location

410 N Carroll Ave
Suite 170
Southlake, TX 76092-6455

Mailing address

410 N Carroll Ave
Suite 170
Southlake, TX 76092-6455
Phone (817) 442-1250

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
M7726TXMDAnesthesiology Physician
NY1666-57NYMDCritical Care Medicine (Anesthesiology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Isidra Veve M.D. PLLC Anesthesiology Past Accepting new patients
Community Anesthesia Services Past Accepting new patients
Stanford Health Care Anesthesiology Past Accepting new patients
Gastro Anesthesia Services, PC Anesthesiology Past Accepting new patients

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1119398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1401753600000",
    "number": "1386640753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 N CARROLL AVE",
            "address_2": "SUITE 170",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "760926455",
            "telephone_number": "817-442-1250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 N CARROLL AVE",
            "address_2": "SUITE 170",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "760926455",
            "telephone_number": "817-442-1250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VEVE",
        "first_name": "ISIDRA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-22",
        "last_updated": "2014-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "TX",
            "license": "M7726",
            "primary": true
        },
        {
            "code": "207LC0200X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Critical Care Medicine",
            "state": "NY",
            "license": "NY1666-57",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southlake, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2014; 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.