Organization Active NPI

Maurice Shaner II

  • Land Ambulance
  • San Antonio, TX
National Provider Identifier
1003987108
Registry record updated Oct 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
015094 Issued in TX
Legal business name
MAURICE SHANER II
Practice address
538 W Woodlawn Ave
San Antonio, TX 78212-3345
Phone
(210) 734-3402
NPI assigned
Nov 11, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2020

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

Authorized official

Name
Mr. Maurice E Shaner II
Title
Owner
Phone
(210) 734-3402

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 015094 TX Primary

Addresses

Primary practice location

538 W Woodlawn Ave
San Antonio, TX 78212-3345

Mailing address

538 W Woodlawn Ave
San Antonio, TX 78212-3345
Phone (210) 734-3402

Other identifiers 2

IdentifierTypeStateIssuer
000741101MedicaidTX
AMB552OtherTXBLUE CROSS BLUE SHIELD

Other names 1

  • Amb -Trans Ambulance Doing business as

National Provider Directory

National Provider Directory

Locations

538 W Woodlawn Ave
San Antonio, TX 78212
Phone (210) 734-3402

NPI Registry JSON

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

{
    "created_epoch": "1163203200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603756800000",
    "number": "1003987108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "538 W WOODLAWN AVE",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782123345",
            "telephone_number": "210-734-3402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "538 W WOODLAWN AVE",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782123345",
            "telephone_number": "210-734-3402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAURICE SHANER II",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-11",
        "last_updated": "2020-10-27",
        "certification_date": "2020-10-27",
        "status": "A",
        "authorized_official_last_name": "SHANER",
        "authorized_official_first_name": "MAURICE",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "210-734-3402",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "II"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "TX",
            "license": "015094",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000741101",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "AMB552",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Amb -Trans Ambulance",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.