Organization Active NPI

Epilepsy Foundation Central and South Texas

  • Epilepsy Physician
  • San Antonio, TX
National Provider Identifier
1104942382
Registry record updated Feb 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Epilepsy PhysicianTaxonomy code 2084E0001X
Legal business name
EPILEPSY FOUNDATION CENTRAL AND SOUTH TEXAS
Practice address
8601 Village Dr Ste 220
San Antonio, TX 78217-5509
Phone
(210) 653-5353
Fax
(210) 653-5355
NPI assigned
Mar 21, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2025

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

Authorized official

Name
Kimberly Martin
Title
Chief Executive Officer
Phone
(210) 653-5353

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Epilepsy PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084E0001X Primary

Addresses

Primary practice location

8601 Village Dr Ste 220
San Antonio, TX 78217-5509

Mailing address

8601 Village Dr Ste 220
San Antonio, TX 78217-5509
Phone (210) 653-5353

National Provider Directory

National Provider Directory

Locations

8601 Village Dr
Ste 220
San Antonio, TX 78217
Phone (210) 599-2030

10615 Perrin Beitel Rd
Ste 602
San Antonio, TX 78217
Phone (210) 653-5353

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/26349/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1174435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738627200000",
    "number": "1104942382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8601 VILLAGE DR STE 220",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782175509",
            "telephone_number": "210-653-5353",
            "fax_number": "210-653-5355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8601 VILLAGE DR STE 220",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782175509",
            "telephone_number": "210-653-5353",
            "fax_number": "210-653-5355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EPILEPSY FOUNDATION CENTRAL AND SOUTH TEXAS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-21",
        "last_updated": "2025-02-04",
        "certification_date": "2025-02-04",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "210-653-5353"
    },
    "taxonomies": [
        {
            "code": "2084E0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Epilepsy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Feb 4, 2025; 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.