Veda Medical, LLC

Primary specialty

Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X

License

N8956 Issued in TX

Legal business name

VEDA MEDICAL, LLC

Practice address

4200 Green Valley Rd
Cibolo, TX 78108-1900

Phone

(325) 665-9111

Fax

(855) 879-0915

NPI assigned

May 11, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Pradeep Sharma Mohan, M.D.NPI 1235351610

Title

Ceo

Phone

(325) 665-9111

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Pradeep S Mohan, MD

  • Plastic and Reconstructive Surgery Physician
  • Live Oak, TX
  • NPI 1235351610

  Surgery of the Hand

  Medicare reassignment NPD Authorized official
• Dianne M Rudolph, NP

  • Gerontology Nurse Practitioner
  • Boerne, TX
  • NPI 1427095777
  Medicare reassignment NPD
• Andrew T Vidal, FNP-C

  • Family Nurse Practitioner
  • San Antonio, TX
  • NPI 1194264531
  NPD
• Erik Garza, M.D.

  • Family Medicine Physician
  • Corpus Christi, TX
  • NPI 1609119254
  NPD (past)
• Susan Patricia Mangum, FNP-BC

  • Family Nurse Practitioner
  • San Antonio, TX
  • NPI 1962657486
  NPD (past)
• Anne Marie McBride, APRN

  • Nurse Practitioner
  • San Antonio, TX
  • NPI 1609573773
  NPD (past)
• Ricardo Dejesus Villafana, MD

  • Family Medicine Physician
  • Live Oak, TX
  • NPI 1609873371
  NPD (past)

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

{
    "created_epoch": "1494460800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1494460800000",
    "number": "1891221636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4200 GREEN VALLEY RD",
            "city": "CIBOLO",
            "state": "TX",
            "postal_code": "781081900",
            "telephone_number": "325-665-9111",
            "fax_number": "855-879-0915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4200 GREEN VALLEY RD",
            "city": "CIBOLO",
            "state": "TX",
            "postal_code": "781081900",
            "telephone_number": "325-665-9111",
            "fax_number": "855-879-0915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VEDA MEDICAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-11",
        "last_updated": "2017-05-11",
        "status": "A",
        "authorized_official_last_name": "MOHAN",
        "authorized_official_first_name": "PRADEEP",
        "authorized_official_middle_name": "SHARMA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "325-665-9111",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2086S0105X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery, Surgery of the Hand",
            "state": "TX",
            "license": "N8956",
            "primary": false
        },
        {
            "code": "2086S0122X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "TX",
            "license": "N8956",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Zhanna Urban, DDS
• Nicole Van Winkle, PHARMD
• Yuri Vasquez
• Vassarris Counseling
• Jennifer Vassell, MA
• Laura Marcela Vernaza, RDN
• Wal-Mart Stores Texas LLC
• Wal-Mart Stores Texas, LLC
• Christi Denise Walker, LPC
• David Clark Ward, MD

• Plastic and Reconstructive Surgery Physician in Cibolo, TX
• Providers in Cibolo, TX by specialty
• Plastic and Reconstructive Surgery Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.