Dr. Av, PLLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

N4181 Issued in TX

Legal business name

DR. AV, PLLC

Practice address

210 Lee Barton Dr
Unit # 206
Austin, TX 78704-1045

Phone

(210) 787-6621

Fax

(512) 904-5603

NPI assigned

Nov 26, 2013

Organization subpart

No

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

Authorized official

Name

Aleksandra Vidacic, M.DNPI 1629272224

Title

Healthcare Professional

Phone

(210) 787-6621

Specialties & licenses 1

Addresses

Other names 1

• Dr. AV, PLLC Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Practitioners 2

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

• Aleksandra Vidacic, MD

  • Internal Medicine Physician
  • San Angelo, TX
  • NPI 1629272224
  Medicare reassignment Care Compare group NPD Authorized official
• Craig G Price, P.A.

  • Medical Physician Assistant
  • San Antonio, TX
  • NPI 1578544060
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1385424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1385769600000",
    "number": "1902236003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 684905",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787684905",
            "telephone_number": "210-787-6621",
            "fax_number": "512-904-5603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 LEE BARTON DR",
            "address_2": "UNIT # 206",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787041045",
            "telephone_number": "210-787-6621",
            "fax_number": "512-904-5603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. AV, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-26",
        "last_updated": "2013-11-30",
        "status": "A",
        "authorized_official_last_name": "VIDACIC",
        "authorized_official_first_name": "ALEKSANDRA",
        "authorized_official_title_or_position": "HEALTHCARE PROFESSIONAL",
        "authorized_official_telephone_number": "210-787-6621",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "N4181",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dr. AV, PLLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Dr Brinegar and Associates
• Dr Fan Acupuncture Clinic LLC
• Dr MP and Associates PLLC
• Dr Summer Allen PLLC
• Dr Winston Miller PLLC
• Dr. Calvin a. Kelly & Associates
• Dr. Cheryl L. Hodges, MD, PLLC
• Dr. Dennis P Goehring
• Dr. Derik Sanders, D.C. LLC
• Dr. Eric Frey, PC

• Internal Medicine Physician in Austin, TX
• Providers in Austin, TX by specialty
• Internal Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2013; 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.