Joel Gotvald, PA

Primary specialty

Vascular Surgery PhysicianTaxonomy code 2086S0129X

License

K4694 Issued in TX

Legal business name

JOEL GOTVALD, PA

Doing business as

Austin Vascular & Vein Specialists

Practice address

12319 N Mopac Expy
Suite 250, Plaza North BLDG.
Austin, TX 78758-2414

Phone

(512) 339-9100

Fax

(512) 339-9105

NPI assigned

May 12, 2010

Last updated

Apr 27, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Joel G. Gotvald, M.D.

Title

Owner

Phone

(512) 339-9100

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Austin Vascular & Vein Specialists Doing business as

Locations

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

{
    "created_epoch": "1273622400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1430092800000",
    "number": "1780902932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12319 N MOPAC EXPY",
            "address_2": "SUITE 250, PLAZA NORTH BLDG.",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787582414",
            "telephone_number": "512-339-9100",
            "fax_number": "512-339-9105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12319 N MOPAC EXPY",
            "address_2": "SUITE 250, PLAZA NORTH BLDG.",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787582414",
            "telephone_number": "512-339-9100",
            "fax_number": "512-339-9105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOEL GOTVALD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-12",
        "last_updated": "2015-04-27",
        "status": "A",
        "authorized_official_last_name": "GOTVALD",
        "authorized_official_first_name": "JOEL",
        "authorized_official_middle_name": "G.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "512-339-9100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "TX",
            "license": "K4694",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "220258201",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Austin Vascular & Vein Specialists",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Bob Joe, O.D.
• Kristin Elise Joe, MS, RDN, LD
• Tiffany Daisy Joe, M.D.
• Joeben Medical Supplies LLC
• Joel E. Broussard Jr. D.D.S.,M.S. Inc.
• Joel H Hurt MD PLLC (Austin Orthopedic Institute)
• Joellen Wynne, FNP
• Jacquelin Annette Joffray, APRN
• Jaimie Lynn Johanneck
• Lee Johannsen, MD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2015; 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.