Hunter M Addis, MD

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

L5212 Issued in TX

Practice address

4411 Medical Dr
Ste 300
San Antonio, TX 78229-3824

Phone

(210) 614-5400

Fax

(210) 614-5732

NPI assigned

Jan 20, 2006

Last updated

Jan 2, 2008By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• San Antonio Cardiology Clinic PA

  dba Cardiology Clinic of San Antonio

  • Cardiovascular Disease Physician
  • San Antonio, TX
  • NPI 1326073206
  NPD (past)

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

{
    "created_epoch": "1137715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1199232000000",
    "number": "1023098357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4411 MEDICAL DR",
            "address_2": "STE 300",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782293824",
            "telephone_number": "210-614-5400",
            "fax_number": "210-614-5732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4411 MEDICAL DR",
            "address_2": "STE 300",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782293824",
            "telephone_number": "210-614-5400",
            "fax_number": "210-614-5732"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADDIS",
        "first_name": "HUNTER",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-20",
        "last_updated": "2008-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "TX",
            "license": "L5212",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS MEDICAL LICENSE #",
            "identifier": "L5212",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Adaptive Health Services, LLC
• Charles Jonathon Adaszczyk, PHARMACIST
• Gerald Ross Adcock, PT
• Jeffrey Michael Adcock, DDS
• Shari Addington, MD
• Cora Yvette Addison, MSN, APRN, CPNP-PC
• Antoine Addoumieh, MD
• Adebisi Bolanle Adebayo
• Beatrice Adetoun Adebayo, RN
• Morayo Fadekemi Adebisi, NP

• Cardiovascular Disease Physician in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Cardiovascular Disease Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2008; 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.