Individual provider Active NPI

Stephanie Anne Bouvier, M.D.

  • Anesthesiology Physician
  • San Antonio, TX
National Provider Identifier
1053587576
Registry record updated Dec 18, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
P2099 Issued in TX
Practice address
45 NE Loop 410
Suite #900
San Antonio, TX 78216-5832
Phone
(210) 375-7790
NPI assigned
May 5, 2008
Last updated
Dec 18, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 46556 TN
Anesthesiology Physician 207L00000X P2099 TX Primary

Addresses

Primary practice location

45 NE Loop 410
Suite #900
San Antonio, TX 78216-5832

Mailing address

45 NE Loop 410
Suite 900
San Antonio, TX 78216-5832
Phone (210) 375-7790

Other names 1

  • Stephanie Anne Lewis Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120807000870 TX Practitioner - Anesthesiology 9335395359 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
University of Texas Medical School at San Antonio, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orthomed Staffing LLCGroup PAC ID 9638429178, 373 clinicians

Practice addresses (Care Compare)

7211 Preston Rd
Suite 2100
Plano, TX 75024-0258
Phone (469) 303-0104

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
46556TNMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Orthomed Staffing LLC Anesthesiology CurrentSince Nov 24, 2022 Accepting new patients
Tejas Anesthesia PLLC Anesthesiology CurrentSince May 20, 2017 Accepting new patients
Tejas Anesthesia PLLC Anesthesiology CurrentSince May 20, 2017 Accepting new patients

Locations (25 of 34)

7000 N Mopac Expy
Ste 120
Austin, TX 78731
Phone (512) 342-0900

110 Menger Spgs
Boerne, TX 78006
Phone (830) 331-6006

112 Herff Rd
Ste 200
Boerne, TX 78006
Phone (210) 331-7720

138 Old San Antonio Rd
Ste 400
Boerne, TX 78006
Phone (210) 442-9977

2727 E Lemmon Ave
Dallas, TX 75204
Phone (214) 443-3000

7777 Forest Ln
Dallas, TX 75230
Phone (972) 566-7283

17080 Red Oak Dr
Houston, TX 77090
Phone (281) 298-7441

2240 Gulf Fwy S
League City, TX 77573
Phone (832) 505-1000

7211 Preston Rd
Ste 2100
Plano, TX 75024
Phone (469) 303-0104

1139 E Sonterra Blvd
Ste 100
San Antonio, TX 78258
Phone (210) 638-2000

123 N Loop 1604 E
Ste 107
San Antonio, TX 78232
Phone (210) 267-1374

18414 US Highway 281 N
Ste 114
San Antonio, TX 78259
Phone (210) 455-4150

19010 Stone Oak Pkwy
San Antonio, TX 78258
Phone (210) 575-0355

1919 Rogers Rd
Ste 102
San Antonio, TX 78251
Phone (210) 267-8000

19226 Stonehue
Ste 103
San Antonio, TX 78258
Phone (210) 268-0100

1927 Rogers Rd
San Antonio, TX 78251
Phone (205) 263-7863

2116 Babcock Rd
San Antonio, TX 78229
Phone (210) 202-0288

403 Treeline Park
Bldg 1
San Antonio, TX 78209
Phone (210) 294-8000

423 Treeline Park
Ste 202
San Antonio, TX 78209
Phone (910) 949-6000

4242 Medical Dr
Ste 1260
San Antonio, TX 78229
Phone (210) 477-9551

4242 Medical Dr
Ste 3100
San Antonio, TX 78229
Phone (210) 477-9555

4411 Medical Dr
Ste 200
San Antonio, TX 78229
Phone (210) 575-4584

502 Madison Oak Dr
Ste 500
San Antonio, TX 78258
Phone (210) 499-6700

5255 Prue Rd
Ste 100
San Antonio, TX 78240
Phone (210) 384-2129

5330 N Loop 1604 W
San Antonio, TX 78249
Phone (210) 877-8000

Organizations & group practices 3

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1209945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1418860800000",
    "number": "1053587576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 NE LOOP 410",
            "address_2": "SUITE 900",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782165832",
            "telephone_number": "210-375-7790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 NE LOOP 410",
            "address_2": "SUITE #900",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782165832",
            "telephone_number": "210-375-7790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOUVIER",
        "first_name": "STEPHANIE",
        "middle_name": "ANNE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-05",
        "last_updated": "2014-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "TN",
            "license": "46556",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "TX",
            "license": "P2099",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STEPHANIE",
            "last_name": "LEWIS",
            "middle_name": "ANNE",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.