Organization Active NPI

VR Surgical Associates PA

  • Surgery Physician
  • Floresville, TX
National Provider Identifier
1629401617
Registry record updated Aug 14, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
VR SURGICAL ASSOCIATES PA
Practice address
497 10TH St
Floresville, TX 78114-3179
Phone
(210) 614-3565
Fax
(210) 614-3563
NPI assigned
Aug 14, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2013

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

Authorized official

Name
Dr. Vincent A Caldarola, M.D.NPI 1124043591
Title
Owner
Phone
(210) 614-3565

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 208600000X TX Primary
Colon & Rectal Surgery PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 208C00000X TX

Addresses

Primary practice location

497 10TH St
Floresville, TX 78114-3179

Mailing address

4499 Medical Dr Ste 250
San Antonio, TX 78229-3712
Phone (210) 614-3565

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20131206000168 TX Part B Supplier - Clinic/Group Practice 1557598117 Receives reassigned benefits from 1 practitioner
Practice locations: Floresville, TX

National Provider Directory

National Provider Directory

Locations

497 10th St
#A
Floresville, TX 78114
Phone (210) 614-3565

497 10th St
Ste 103
Floresville, TX 78114

497 10th St
Floresville, TX 78114
Phone (210) 614-3565

155 E Sonterra Blvd
Ste 116
San Antonio, TX 78258
Phone (210) 616-5500

20658 Stone Oak Pkwy
Unit 108
San Antonio, TX 78258
Phone (210) 403-3220

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": "1376438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1376438400000",
    "number": "1629401617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4499 MEDICAL DR STE 250",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782293712",
            "telephone_number": "210-614-3565",
            "fax_number": "210-614-3563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "497 10TH ST",
            "city": "FLORESVILLE",
            "state": "TX",
            "postal_code": "781143179",
            "telephone_number": "210-614-3565",
            "fax_number": "210-614-3563"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VR SURGICAL ASSOCIATES PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-14",
        "last_updated": "2013-08-14",
        "status": "A",
        "authorized_official_last_name": "CALDAROLA",
        "authorized_official_first_name": "VINCENT",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "210-614-3565",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Surgery",
            "state": "TX",
            "license": null,
            "primary": true
        },
        {
            "code": "208C00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Colon & Rectal Surgery",
            "state": "TX",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Floresville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.