Organization Active NPI

Victoria Surgical Associates, P.a.

  • Surgery Physician
  • Victoria, TX
National Provider Identifier
1710936331
Registry record updated Aug 10, 2016
On this page

Key facts

NPPES NPI Registry
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
Last updated
Aug 10, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2016

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

Authorized official

Name
Dr. Andrew Clemmons, D.O.NPI 1013951763
Title
Senior Partner
Phone
(361) 575-6396

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208600000X Primary

Addresses

Primary practice location

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

Mailing address

601 E San Antonio St
Suite 501
Victoria, TX 77901-6052
Phone (361) 575-6396

National Provider Directory

National Provider Directory

Locations

601 E San Antonio St
#501
Victoria, TX 77901
Phone (512) 575-6396

601 E San Antonio St
Ste 501
Victoria, TX 77901
Phone (361) 575-6396

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Victoria, TX

Sources for this page

  • 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.