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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2086S0129X |
Surgery Specialization: Vascular Surgery |
K4694 | TX | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
TX | 220258201 | 05 |
Other Name | Type Code |
---|---|
Austin Vascular & Vein Specialists | Doing Business As Name - Organization |
Street Address |
12319 N MOPAC EXPY SUITE 250, PLAZA NORTH BLDG. |
City | AUSTIN |
State | TX |
Zip Code | 78758-2414 |
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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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 |
Find all providers in zip 78758 |
Taxonomy Code | 2086S0129X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Surgery |
Specialization | Vascular Surgery |
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. |
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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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.