Active NPI
Scott Linden Sledge, M.D.
- Orthopaedic Surgery Physician
- San Antonio, TX
National Provider Identifier
1104930361
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- H0821
- Practice address
- 155 E Sonterra Blvd
Suite 211
San Antonio, TX 78258-3987 - Phone
- (210) 494-9600
- Fax
- (210) 494-9601
- NPI assigned
- Aug 17, 2006
- 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 |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | H0821 | TX | Primary |
Addresses
Primary practice location
155 E Sonterra Blvd
Suite 211
San Antonio, TX 78258-3987
Mailing address
155 E Sonterra Blvd
Suite 211
San Antonio, TX 78258-3987
Phone (210) 494-9600
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 110415003 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155772800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1261958400000",
"number": "1104930361",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "155 E SONTERRA BLVD",
"address_2": "SUITE 211",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782583987",
"telephone_number": "210-494-9600",
"fax_number": "210-494-9601"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "155 E SONTERRA BLVD",
"address_2": "SUITE 211",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782583987",
"telephone_number": "210-494-9600",
"fax_number": "210-494-9601"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SLEDGE",
"first_name": "SCOTT",
"middle_name": "LINDEN",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-17",
"last_updated": "2009-12-28",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "TX",
"license": "H0821",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "110415003",
"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 Dec 28, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.