Guadalupe Regional Medical Group

Primary specialty

Urgent Care Clinic/CenterTaxonomy code 261QU0200X

Legal business name

GUADALUPE REGIONAL MEDICAL GROUP

Practice address

1761 S. State Hwy 46, Suite 104
New Braunfels, TX 78130

Phone

(830) 433-7815

NPI assigned

Feb 5, 2020

Last updated

Feb 5, 2020By the provider in NPPES

Organization subpart

Yes

Parent organization

GUADALUPE REGIONAL MEDICAL GROUPAs reported in NPPES

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

Authorized official

Name

Susie Prichard

Title

Practice Manager

Phone

(830) 401-7558

Specialties & licenses 1

Addresses

Other names 1

• Guadalupe Regional Medical Group Urgent Care Center Other name

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Guadalupe Regional Medical Group

  • Multi-Specialty Clinic/Center
  • Seguin, TX
  • NPI 1578873717

  O20110228000399

  Same enrollment

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Part of

Guad Reg Med GRP

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/27064/brand/1/csg/1/fhir/r4

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Guadalupe Regional Medical Group

  • Multi-Specialty Clinic/Center
  • Seguin, TX
  • NPI 1578873717
  NPPES parent name

Practitioners 41

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Azza Abdalla

  • Obstetrics & Gynecology Physician
  • Seguin, TX
  • NPI 1659725539
  NPD
• Holly Lemon Batterton, APNP

  • Family Nurse Practitioner
  • Seguin, TX
  • NPI 1114794377
  NPD
• Sara Burge, AUD

  • Audiologist
  • Seguin, TX
  • NPI 1902415698
  NPD
• Clint Field Burrus, MD

  • Obstetrics & Gynecology Physician
  • Seguin, TX
  • NPI 1316231517
  NPD
• Christopher John Corkins, M.D.

  • Surgery Physician
  • San Antonio, TX
  • NPI 1760809123
  NPD
• Jack L Deetjen, M.D.

  • Orthopaedic Surgery Physician
  • Seguin, TX
  • NPI 1699723320
  NPD
• Brett Thomas Earnest, MD

  • Family Medicine Physician
  • New Braunfels, TX
  • NPI 1134389711
  NPD
• Amy Deeann Evans, FNP-C

  • Family Nurse Practitioner
  • Seguin, TX
  • NPI 1770321952
  NPD
• Caroline Elizabeth Flowers, MD

  • Family Medicine Physician
  • Seguin, TX
  • NPI 1336702513
  NPD
• Gretchen L Fulkerson, APRN

  • Family Nurse Practitioner
  • New Braunfels, TX
  • NPI 1720356256
  NPD
• Gabriel R Gonzales, DO

  • Gastroenterology Physician
  • Seguin, TX
  • NPI 1740741248
  NPD
• Jason C Goodwin, M.D.

  • Otolaryngology Physician
  • Seguin, TX
  • NPI 1972737237
  NPD

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

{
    "created_epoch": "1580860800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1580860800000",
    "number": "1114559432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1215 E COURT ST",
            "city": "SEGUIN",
            "state": "TX",
            "postal_code": "781555129",
            "telephone_number": "830-401-7558",
            "fax_number": "830-401-7640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1761 S. STATE HWY 46, SUITE 104",
            "city": "NEW BRAUNFELS",
            "state": "TX",
            "postal_code": "78130",
            "telephone_number": "830-433-7815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUADALUPE REGIONAL MEDICAL GROUP",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GUADALUPE REGIONAL MEDICAL GROUP",
        "enumeration_date": "2020-02-05",
        "last_updated": "2020-02-05",
        "certification_date": "2020-02-05",
        "status": "A",
        "authorized_official_last_name": "PRICHARD",
        "authorized_official_first_name": "SUSIE",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "830-401-7558"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Guadalupe Regional Medical Group Urgent Care Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Gruene Therapy Services, PLLC
• Jay Loyd Gruhlkey, MD
• Guada-Coma Home Healthcare
• Guadalupe County Hospital Board (Eden Home)
• Guadalupe County Hospital Board (Legend Oaks Healthcare and Rehabilitation - New Braunfels)
• Guardian Angel Anesthesia Services LTD
• Guardian Medical Transportation Inc.
• German Guardiola
• Marisol Aguilar Guerra-Garza, LPC
• Norma Noemi Guerra, RN

• Urgent Care Clinic/Center in New Braunfels, TX
• Providers in New Braunfels, TX by specialty
• Urgent Care Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.