Victoria Surgical Associates, P.a.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

Legal business name

VICTORIA SURGICAL ASSOCIATES, P.A.

Practice address

601 E San Antonio St
Suite 501
Victoria, TX 77901-6052

Phone

(361) 575-6396

Fax

(361) 575-2728

NPI assigned

May 9, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Andrew Clemmons, D.O.

Title

Senior Partner

Phone

(361) 575-6396

Specialties & licenses 1

Addresses

Other identifiers 4

Locations

Practitioners 1

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

• Theresa A. Graves, MD

  • Surgery Physician
  • Providence, RI
  • NPI 1124025663
  NPD (past)

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

{
    "created_epoch": "1147132800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1470787200000",
    "number": "1710936331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 E SAN ANTONIO ST",
            "address_2": "SUITE 501",
            "city": "VICTORIA",
            "state": "TX",
            "postal_code": "779016052",
            "telephone_number": "361-575-6396",
            "fax_number": "361-575-2728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 E SAN ANTONIO ST",
            "address_2": "SUITE 501",
            "city": "VICTORIA",
            "state": "TX",
            "postal_code": "779016052",
            "telephone_number": "361-575-6396",
            "fax_number": "361-575-2728"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VICTORIA SURGICAL ASSOCIATES, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-09",
        "last_updated": "2016-08-10",
        "status": "A",
        "authorized_official_last_name": "CLEMMONS",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_title_or_position": "SENIOR PARTNER",
        "authorized_official_telephone_number": "361-575-6396",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "083720501",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CP2130",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS BLUESHIELD",
            "identifier": "00L365",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KIDNEY HEALTHCARE",
            "identifier": "004168",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Victoria Radiology Associates
• Victoria Sleep Disorder Center, LP
• Victoria Spinal Care Center
• Victoria Sports Medicine, Bone, and Joint Institute, PA
• Victoria Surgery Center
• Victoria Testosterone Center PLLC
• Victoria Texas Home Care Services, LLC
• Victoria TX SNF Management LLC
• Victoria Vein & Surgery Clinic PLLC
• Victoria Vision Center LLC

• Surgery Physician in Victoria, TX
• Providers in Victoria, TX by specialty
• Surgery Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2016; 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.