Active NPI
Venkata S Erella MD PA
- Plastic Surgery Physician
- Austin, TX
National Provider Identifier
1609197490
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic Surgery Physician
- License
- M7167
- 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
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.
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Plastic Surgery Physician | 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
National Provider Directory
National Provider DirectoryLocations
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.
-
- Plastic Surgery Physician
- Austin, TX
- NPI 1255380671
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.