Organization Active NPI

Aveo Medical Group - North Texas PLLC

  • Geriatric Medicine (Internal Medicine) Physician
  • Dallas, TX
National Provider Identifier
1780179267
Registry record updated Jun 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X
Legal business name
AVEO MEDICAL GROUP - NORTH TEXAS PLLC
Practice address
8600 Skyline Dr
Suite 1000
Dallas, TX 75243
Phone
(214) 695-1183
NPI assigned
Jun 26, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2018

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

Authorized official

Name
Dr. Jordan Pastorek, MD
Title
Manager
Phone
(337) 255-7011

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Internal Medicine) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RG0300X TX Primary

Addresses

Primary practice location

8600 Skyline Dr
Suite 1000
Dallas, TX 75243

Mailing address

9041 Meadowknoll Dr
Dallas, TX 75243-7518
Phone (214) 695-1183

National Provider Directory

National Provider Directory

Locations

6101 Ohio Dr
Ste 400
Plano, TX 75024
Phone (866) 813-2333

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/20182/brand/1/csg/1/fhir/r4

NPI Registry JSON

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

{
    "created_epoch": "1529971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1530057600000",
    "number": "1780179267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9041 MEADOWKNOLL DR",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752437518",
            "telephone_number": "214-695-1183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8600 SKYLINE DR",
            "address_2": "SUITE 1000",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "75243",
            "telephone_number": "214-695-1183"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVEO MEDICAL GROUP - NORTH TEXAS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-26",
        "last_updated": "2018-06-27",
        "status": "A",
        "authorized_official_last_name": "PASTOREK",
        "authorized_official_first_name": "JORDAN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "337-255-7011",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2018; 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.