Andre Yuan Levesque, MD PLLC

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

Legal business name

ANDRE YUAN LEVESQUE, MD PLLC

Practice address

11851 Jollyville Rd Ste 203
Austin, TX 78759-2350

Phone

(512) 487-5975

Fax

(737) 931-1976

NPI assigned

Oct 29, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Andre Yuan Levesque, MDNPI 1467611566

Title

Member

Phone

(512) 487-5975

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Levesque Plastic Surgery Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 2

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

• Andre Yuan Levesque, M.D.

  • Plastic Surgery Physician
  • Austin, TX
  • NPI 1467611566
  Medicare reassignment Authorized official
• Roger D Davis Jr., CRNA

  • Certified Registered Nurse Anesthetist
  • NPI 1710950506
  NPD (past)

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

{
    "created_epoch": "1540771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680048000000",
    "number": "1629545645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11851 JOLLYVILLE RD STE 203",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787592350",
            "telephone_number": "512-487-5975",
            "fax_number": "737-931-1976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11851 JOLLYVILLE RD STE 203",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787592350",
            "telephone_number": "512-487-5975",
            "fax_number": "737-931-1976"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANDRE YUAN LEVESQUE, MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-29",
        "last_updated": "2023-03-29",
        "certification_date": "2023-03-29",
        "status": "A",
        "authorized_official_last_name": "LEVESQUE",
        "authorized_official_first_name": "ANDRE",
        "authorized_official_middle_name": "YUAN",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "512-487-5975",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3977118",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Levesque Plastic Surgery",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Levesque Plastic Surgery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Diana Nathalie Andino
• Michael Joseph Andorka, LP
• Brenda Andrade
• Marija Davis Andrade, APRN, FNP
• Michelle Andrade, D.C.
• Andrea L. Butler PLLC
• Andrea L. Campaigne MD PLLC
• Mary Christine Andreae, RD
• Teodora Elaine Andreas
• Emily Louise Andreasky, LMSW

• Plastic Surgery Physician in Austin, TX
• Providers in Austin, TX by specialty
• Plastic Surgery Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2023; 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.