NPIMap

Organization Active NPI

Allied Institute of Medicine, PLLC

  • Family Medicine Physician
  • San Antonio, TX
National Provider Identifier
1023028669
Registry record updated Nov 1, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
K3819 Issued in TX
Legal business name
ALLIED INSTITUTE OF MEDICINE, PLLC
Practice address
4360 Greco Dr.
San Antonio, TX 78222-2725
Phone
(210) 648-8200
Fax
(210) 648-8204
NPI assigned
Aug 8, 2006
Last updated
Nov 1, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2010

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

Authorized official

Name
David Ho Sung Pak, D.O.
Title
Ceo
Phone
(210) 648-8200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X K3819 TX Primary

Addresses

Primary practice location

4360 Greco Dr.
San Antonio, TX 78222-2725

Mailing address

4360 Greco Dr
San Antonio, TX 78222-2725
Phone (210) 648-8200

Other identifiers 2

IdentifierTypeStateIssuer
0060EVOtherTXBLUE CROSS BLUE SHIELD
201626301MedicaidTX

National Provider Directory

National Provider Directory

Locations

12709 Toepperwein Rd
Ste 360
Live Oak, TX 78233
Phone (210) 599-6768

Practitioners & affiliated clinicians

Practitioners 22

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 22

NPI Registry JSON

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

{
    "created_epoch": "1154995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1288569600000",
    "number": "1023028669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4360 GRECO DR",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782222725",
            "telephone_number": "210-648-8200",
            "fax_number": "210-648-8204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4360 GRECO DR.",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782222725",
            "telephone_number": "210-648-8200",
            "fax_number": "210-648-8204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLIED INSTITUTE OF MEDICINE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-08",
        "last_updated": "2010-11-01",
        "status": "A",
        "authorized_official_last_name": "PAK",
        "authorized_official_first_name": "DAVID HO",
        "authorized_official_middle_name": "SUNG",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "210-648-8200",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "K3819",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "0060EV",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201626301",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Nov 1, 2010; 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.