Active NPI
Victoria Radiology Associates
- Diagnostic Radiology Physician
- Victoria, TX
National Provider Identifier
1467461897
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- Legal business name
- VICTORIA RADIOLOGY ASSOCIATES
- Practice address
- 2710 Hospital Dr
Suite 110
Victoria, TX 77901-5743 - Phone
- (361) 578-0317
- Fax
- (361) 578-8142
- NPI assigned
- Aug 5, 2006
- 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
- Stephen W Tibbitts, M.D.
- Title
- Partner
- Phone
- (361) 578-0317
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | Primary |
Addresses
Primary practice location
2710 Hospital Dr
Suite 110
Victoria, TX 77901-5743
Mailing address
PO Box 3610
Victoria, TX 77903-3610
Phone (361) 578-0317
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CP3083 | Other | RAILROAD MEDICARE | |
| 00L943 | Other | BLUE CROSS | |
| 127283301 | Medicaid | TX |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
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.
-
- Diagnostic Radiology Physician
- Victoria, TX
- NPI 1033128624
-
- Diagnostic Radiology Physician
- Corsicana, TX
- NPI 1265409585
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154736000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1398297600000",
"number": "1467461897",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3610",
"city": "VICTORIA",
"state": "TX",
"postal_code": "779033610",
"telephone_number": "361-578-0317",
"fax_number": "361-578-8142"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2710 HOSPITAL DR",
"address_2": "SUITE 110",
"city": "VICTORIA",
"state": "TX",
"postal_code": "779015743",
"telephone_number": "361-578-0317",
"fax_number": "361-578-8142"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VICTORIA RADIOLOGY ASSOCIATES",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-05",
"last_updated": "2014-04-24",
"status": "A",
"authorized_official_last_name": "TIBBITTS",
"authorized_official_first_name": "STEPHEN",
"authorized_official_middle_name": "W",
"authorized_official_title_or_position": "PARTNER",
"authorized_official_telephone_number": "361-578-0317",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Radiology, Diagnostic Radiology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "CP3083",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "00L943",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "127283301",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Victoria, TX
- Victoria Pediatrics & Adolescents Assoc.
- Victoria Physical Therapy PC
- Victoria Physicians Solutions,LLC
- Victoria Prosthetics & Orthotics Inc (Texas Orthotics and Prosthetics)
- Victoria Psychiatric Associates, L.L.P.
- Victoria Sleep Disorder Center, LP (Victoria Sleep Disorder Center)
- Victoria Spinal Care Center
- Victoria Sports Medicine, Bone, and Joint Institute, PA
- Victoria Surgery Center
- Victoria Surgical Associates, P.a.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 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.