Individual provider Active NPI

Scott Linden Sledge, M.D.

  • Orthopaedic Surgery Physician
  • San Antonio, TX
National Provider Identifier
1104930361
Registry record updated Dec 28, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
H0821 Issued in TX
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

Updated by the provider on Dec 28, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
110415003MedicaidTX

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.

Verify at the official NPI Registry.