Individual provider Active NPI

Peter L. McGanity, M.D.

  • Orthopaedic Surgery Physician
  • San Antonio, TX
National Provider Identifier
1124022694
Registry record updated Oct 29, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
E4515 Issued in TX
Practice address
8601 Village Dr
Ste 210
San Antonio, TX 78217-5512
Phone
(210) 654-8700
Fax
(210) 654-8750
NPI assigned
Jun 11, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 29, 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 E4515 TX Primary

Addresses

Primary practice location

8601 Village Dr
Ste 210
San Antonio, TX 78217-5512

Mailing address

8601 Village Dr
Ste 210
San Antonio, TX 78217-5512
Phone (210) 654-8700

Other identifiers 2

IdentifierTypeStateIssuer
102920904OtherTXCSHCN
102920903MedicaidTX

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": "1118448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1256774400000",
    "number": "1124022694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8601 VILLAGE DR",
            "address_2": "STE 210",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782175512",
            "telephone_number": "210-654-8700",
            "fax_number": "210-654-8750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8601 VILLAGE DR",
            "address_2": "STE 210",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782175512",
            "telephone_number": "210-654-8700",
            "fax_number": "210-654-8750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCGANITY",
        "first_name": "PETER",
        "middle_name": "L.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-11",
        "last_updated": "2009-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "TX",
            "license": "E4515",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CSHCN",
            "identifier": "102920904",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102920903",
            "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 Oct 29, 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.