Active NPI
Victoria Anesthesiology Assoc LLP
- Anesthesiology Physician
- Victoria, TX
National Provider Identifier
1881709780
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- Legal business name
- VICTORIA ANESTHESIOLOGY ASSOC LLP
- Practice address
- 1501 E Mockingbird LN
Suite 101
Victoria, TX 77904-2155 - Phone
- (361) 573-6291
- Fax
- (361) 576-2434
- NPI assigned
- Aug 20, 2006
- 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
- Buddy R Nielsen, MD
- Title
- MD
- Phone
- (361) 573-2481
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | Primary | ||
| Certified Registered Nurse Anesthetist | 367500000X |
Addresses
Primary practice location
1501 E Mockingbird LN
Suite 101
Victoria, TX 77904-2155
Mailing address
PO Box 4897
Houston, TX 77210-4897
Phone (361) 573-6291
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0841793-02 | Medicaid | TX | |
| 00N42X | Medicaid | TX | |
| CD3812 | Other | TX | RR MEDICARE |
| C31N | Other | TX | BCBS TX CRNAS |
| 00N42X | Other | TX | BLUE CROSS GRP MD |
National Provider Directory
National Provider DirectoryLocations
1501 E Mockingbird Ln
Ste 101
Victoria, TX 77904
Phone (361) 513-6291
1501 E Mockingbird Ln
Ste 200
Victoria, TX 77904
Phone (316) 573-6291
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Anesthesiology Physician
- Victoria, TX
- NPI 1154401065
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156032000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1471478400000",
"number": "1881709780",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 4897",
"city": "HOUSTON",
"state": "TX",
"postal_code": "772104897",
"telephone_number": "361-573-6291",
"fax_number": "361-576-2434"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1501 E MOCKINGBIRD LN",
"address_2": "SUITE 101",
"city": "VICTORIA",
"state": "TX",
"postal_code": "779042155",
"telephone_number": "361-573-6291",
"fax_number": "361-576-2434"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VICTORIA ANESTHESIOLOGY ASSOC LLP",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-20",
"last_updated": "2016-08-18",
"status": "A",
"authorized_official_last_name": "NIELSEN",
"authorized_official_first_name": "BUDDY",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "MD",
"authorized_official_telephone_number": "361-573-2481",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Anesthesiology",
"state": null,
"license": null,
"primary": true
},
{
"code": "367500000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Anesthetist, Certified Registered",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0841793-02",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00N42X",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "CD3812",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS TX CRNAS",
"identifier": "C31N",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS GRP MD",
"identifier": "00N42X",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Victoria, TX
- Jesse David Velez, FNP-C
- Natarajan Venkatayan, M.D.
- Veterans Affairs
- Tyisha Rena Vianes
- Victoria Ambulatory Surgery Center, LP
- Victoria Assisted Living, LTD.
- Victoria Autism and Behavior Associates LLC
- Victoria Cardiovascular Imaging LP
- Victoria Chiropractic Clinic PLLC
- Victoria City-County Health Department
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 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.