Organization Active NPI

Venkata S Erella MD PA

  • Plastic Surgery Physician
  • Austin, TX
National Provider Identifier
1609197490
Registry record updated Sep 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
M7167 Issued in TX
Legal business name
VENKATA S ERELLA MD PA
Practice address
3207 Ranch Road 620 S
Suite a
Austin, TX 78738-6872
Phone
(512) 730-3885
Fax
(512) 730-3875
NPI assigned
Jun 16, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2014

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

Authorized official

Name
Dr. Venkata S Erella, M.D.NPI 1255380671
Title
Owner/Rendering Provider
Phone
(512) 730-3885

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208200000X M7167 TX Primary

Addresses

Primary practice location

3207 Ranch Road 620 S
Suite a
Austin, TX 78738-6872

Mailing address

3207 Ranch Road 620 S
Suite a
Austin, TX 78738-6872
Phone (512) 730-3885

Other names 1

  • ASPIRA PLASTIC SURGERY Doing business as

National Provider Directory

National Provider Directory

Locations

3207 Ranch Road 620 S
Ste A
Austin, TX 78738
Phone (512) 730-3885

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1276646400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410307200000",
    "number": "1609197490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3207 RANCH ROAD 620 S",
            "address_2": "SUITE A",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787386872",
            "telephone_number": "512-730-3885",
            "fax_number": "512-730-3875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3207 RANCH ROAD 620 S",
            "address_2": "SUITE A",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787386872",
            "telephone_number": "512-730-3885",
            "fax_number": "512-730-3875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VENKATA S ERELLA MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-16",
        "last_updated": "2014-09-10",
        "status": "A",
        "authorized_official_last_name": "ERELLA",
        "authorized_official_first_name": "VENKATA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER/RENDERING PROVIDER",
        "authorized_official_telephone_number": "512-730-3885",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery",
            "state": "TX",
            "license": "M7167",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ASPIRA PLASTIC SURGERY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 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.