NPIMap

Organization Active NPI

San Antonio Retina Associates, PLLC

  • Ophthalmology Physician
  • San Antonio, TX
National Provider Identifier
1124195342
Registry record updated May 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
L1120 Issued in TX
Legal business name
SAN ANTONIO RETINA ASSOCIATES, PLLC
Practice address
7940 Floyd Curl
#820
San Antonio, TX 78229-3906
Phone
(210) 615-8413
Fax
(210) 615-8417
NPI assigned
Nov 30, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 13, 2011

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

Authorized official

Name
James Christopher Macdonald, M.D.NPI 1851408835
Title
President/Physician
Phone
(210) 615-8413

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207W00000X L1120 TX Primary

Addresses

Primary practice location

7940 Floyd Curl
#820
San Antonio, TX 78229-3906

Mailing address

7940 Floyd Curl
#820
San Antonio, TX 78229-3906
Phone (210) 615-8413

Other names 1

  • Stone Oak Retina, PLLC Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070626000533 TX Part B Supplier - Clinic/Group Practice 5698874089 Receives reassigned benefits from 1 practitioner
Practice locations: San Antonio, TX

National Provider Directory

National Provider Directory

Locations

7940 Floyd Curl Dr
Ste 820
San Antonio, TX 78229
Phone (210) 615-8413

315 N San Saba
Ste 1070
San Antonio, TX 78207
Phone (210) 615-8413

Practitioners & affiliated clinicians

Practitioners 2

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": "1164844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1305244800000",
    "number": "1124195342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7940 FLOYD CURL",
            "address_2": "#820",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782293906",
            "telephone_number": "210-615-8413",
            "fax_number": "210-615-8417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7940 FLOYD CURL",
            "address_2": "#820",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782293906",
            "telephone_number": "210-615-8413",
            "fax_number": "210-615-8417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAN ANTONIO RETINA ASSOCIATES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-30",
        "last_updated": "2011-05-13",
        "status": "A",
        "authorized_official_last_name": "MACDONALD",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "PRESIDENT/PHYSICIAN",
        "authorized_official_telephone_number": "210-615-8413",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": "TX",
            "license": "L1120",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Stone Oak Retina, PLLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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 May 13, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.