JOEL GOTVALD, PA


Address: 12319 N Mopac Expy, Suite 250, Plaza North Bldg., Austin, TX 78758-2414
Phone: 5123399100

JOEL GOTVALD, PA (NPI# 1780902932) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1780902932
Entity Type Organization
Organization Name JOEL GOTVALD, PA
Other Organization Name AUSTIN VASCULAR & VEIN SPECIALISTS
Practice Address 12319 N Mopac Expy
Suite 250, Plaza North Bldg.
Austin
TX 78758-2414
Practice Telephone 5123399100
Practice Fax Number 5123399105
Mailing Telephone 5123399100
Mailing Fax Number 5123399105
Enumeration Date 2010-05-12
Last Update Date 2015-04-27
Authorized Official Name DR. JOEL G. GOTVALD (OWNER)
Authorized Official Telephone 5123399100
Authorized Official Credential M.D.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2086S0129X Surgery
Specialization: Vascular Surgery
K4694 TX Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
TX 220258201 05

Other Provider/Organization Names

Other Name Type Code
Austin Vascular & Vein Specialists Doing Business As Name - Organization

Office Location

Street Address 12319 N MOPAC EXPY
SUITE 250, PLAZA NORTH BLDG.
City AUSTIN
State TX
Zip Code 78758-2414

Providers in the same location

NPI Name Taxonomy Address Enumeration
1467440180 Patrick W Slater Otolaryngology 12319 N Mopac Expy, Bldg. C, Sutie 300, Austin, TX 78758-2403 2005-10-06
1285160234 Kaylene Ball Audiologist 12319 N Mopac Expy, Building C #300, Austin, TX 78758-2414 2017-05-11
1356703243 Teresa R Kroeker Md Pa Surgery 12319 N Mopac Expy, 260, Austin, TX 78758-2414 2016-03-22
1649635442 Tmc Provider Group Pllc Family Medicine 12319 N Mopac Expy, Austin, TX 78758-2414 2015-12-21
1568836351 Alecia Michelle Zuehlke Nurse Practitioner 12319 N Mopac Expy, #200, Austin, TX 78758-2414 2015-11-17
1720479033 Iom Monitoring, Pllc Specialist/Technologist, Other 12319 N Mopac Expy, Bldg C, Ste 300, Austin, TX 78758-2414 2015-02-09
1851796171 Rose Imaging Specialists, Pa Radiology 12319 N Mopac Expy, Suite 320, Austin, TX 78758-2414 2014-10-29
1710317516 Neurogen Therapeutics, LLC Chiropractor 12319 N Mopac Expy, Suite 260, Austin, TX 78758-2414 2013-11-15
1104258565 Preferred Spine and Pain Pllc Anesthesiology 12319 N Mopac Expy, Suite 350, Austin, TX 78758-2414 2013-08-07
1407101132 Sheila Shung Md Pllc Internal Medicine Internal Medicine 12319 N Mopac Expy, Suite 240, Austin, TX 78758-2403 2012-07-18
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1225644065 Seton Family of Doctors Internal Medicine 3001 Palm Way, D1 : 134-138, Austin, TX 78758 2020-09-17
1083243661 Donna Bella Laurel Portillo Pharmacist 12221 N Mopac Expwy, Austin, TX 78758 2020-04-05
1881249092 Elizabeth Logan Anderson Behavioral Analyst 2100 Kramer Ln., Suite 150, Austin, TX 78758 2019-08-05
1295388502 Bridget Sue Morgan Behavioral Analyst 2100 Kramer Ln #150, Austin, TX 78758 2019-07-17
1508326885 Jonathan James Runnels Anesthesiologist Assistant 12221n Mopac, Austin, TX 78758 2019-03-22
1427527324 Nayely Gutierrez Dietitian, Registered 8606 Delaware Ct, Austin, TX 78758 2018-11-20
1720569635 Shari Wright Licensed Vocational Nurse 12349 Metric Blvs # 425, Austin, TX 78758 2018-08-28
1528545456 Alexis N Bongiorno Registered Nurse 11901 Hobby Horse Court, 1516, Austin, TX 78758 2018-07-24
1679072573 Lori Scott Counselor 1600 Payton Gin Road, Austin, TX 78758 2018-02-06
1003322488 Lisa Robyn Lee Behavior Technician 2018 W Rundberg Ln, #13d, Austin, TX 78758 2017-12-20
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Taxonomy Information

Taxonomy Code 2086S0129X
Grouping Allopathic & Osteopathic Physicians
Classification Surgery
Specialization Vascular Surgery

Taxonomy Definition

A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1457633455 All In Veins, LLC Surgery 11011 Domain Dr, Ste 104, Austin, TX 78758-7764 2011-09-15
1922103159 Christopher Walton Brennig Surgery 7000 North Mopac Expressway, Suite 320, Austin, TX 78731-3258 2006-09-13
1306224290 Saad Liaqat Sahi Surgery 601 E 15th St, Ut Southwestern Austin General Surgery Umcb, Austin, TX 78701-1930 2015-05-11
1487890620 Austin Vascular Institute Pa Surgery 7000 North Mopac Expressway, Suite 320, Austin, TX 78731-3258 2008-12-17
1518126234 David Andrew Nation Surgery 1010 W 40th St, Austin, TX 78756-4010 2008-06-06
1245407469 Ryan Scott Turley Surgery 1010 W 40th St, Austin, TX 78756-4010 2008-05-15
1811191794 Mazin Issa Foteh Surgery 1010 W 40th St, Austin, TX 78756-4010 2007-06-13
1174536817 Robert Bridges Surgery 1010 W 40th St, Austin, TX 78756-4010 2006-08-14
1386651206 Phillip Church Surgery 1010 W 40th St, Austin, TX 78756-4010 2006-08-02
1982628137 Stephen Settle Surgery 1010 W 40th St, Austin, TX 78756-4010 2006-07-27
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Competitor

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City AUSTIN
Zip Code 78758

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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