Active NPI
Aveo Medical Group - North Texas PLLC
- Geriatric Medicine (Internal Medicine) Physician
- Dallas, TX
National Provider Identifier
1780179267
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Medicine (Internal Medicine) Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Geriatric Medicine (Internal Medicine) Physician | 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 DirectoryLocations
6101 Ohio Dr
Ste 400
Plano, TX 75024
Phone (866) 813-2333
Interoperability endpoints
- 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.