Active NPI
Terry Lee Emanuel, PA
- Medical Physician Assistant
- San Antonio, TX
National Provider Identifier
1093822082
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- PA02068
- Practice address
- 8606 Cheviot HTS
San Antonio, TX 78254-2302 - Phone
- (210) 393-7553
- NPI assigned
- Aug 24, 2006
- Last updated
- Apr 3, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | PA02068 | TX | Primary |
Addresses
Primary practice location
8606 Cheviot HTS
San Antonio, TX 78254-2302
Mailing address
8606 Cheviot Heights
San Antonio, TX 78212
Phone (210) 393-7553
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 87N248 | Other | TX | MEDICARE PIN FOR GROUP 00T148 |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX, CO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The University of Texas Health Science Center at San Antonio | Past | Accepting new patients | |
| Riverwalk Clinic, LLC | Past | Accepting new patients |
Organizations & group practices 5
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.
-
- Emergency Medicine Physician
- Gonzales, TX
- NPI 1164770996
-
- Emergency Medicine Physician
- Denver, CO
- NPI 1245089028
-
- Emergency Medicine Physician
- Denver, CO
- NPI 1235988015
-
dba Alamo City Medical Group
- Urgent Care Clinic/Center
- San Antonio, TX
- NPI 1629191176
-
dba UT Health San Antonio Multispecialty & Research Hospital
- General Acute Care Hospital
- San Antonio, TX
- NPI 1326829904
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156377600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1428019200000",
"number": "1093822082",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8606 CHEVIOT HEIGHTS",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "78212",
"telephone_number": "210-393-7553"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8606 CHEVIOT HTS",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782542302",
"telephone_number": "210-393-7553"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EMANUEL",
"first_name": "TERRY",
"middle_name": "LEE",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-24",
"last_updated": "2015-04-03",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "TX",
"license": "PA02068",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PIN FOR GROUP 00T148",
"identifier": "87N248",
"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 Apr 3, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.