Active NPI
Ples L Kujawa MD PA
- Specialist
- San Antonio, TX
National Provider Identifier
1134317118
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- G5270
- Legal business name
- PLES L KUJAWA MD PA
- Practice address
- 12602 Toepperwein Road
Suite 202
San Antonio, TX 78233-3259 - Phone
- (210) 599-8110
- Fax
- (210) 257-0627
- NPI assigned
- Oct 4, 2007
- Last updated
- Feb 10, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jeffrey Charles Webster
- Title
- Manager
- Phone
- (210) 599-8110
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | G5270 | TX | Primary |
Addresses
Primary practice location
12602 Toepperwein Road
Suite 202
San Antonio, TX 78233-3259
Mailing address
12602 Toepperwein Road
Suite 202
San Antonio, TX 78233-3259
Phone (210) 599-8110
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 114144202 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
12602 Toepperwein Rd
Ste 202
Live Oak, TX 78233
Phone (210) 599-8110
Practitioners & affiliated clinicians
Practitioners 2
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.
-
- Orthopaedic Surgery Physician
- San Antonio, TX
- NPI 1255445409
-
- Physician Assistant
- Helotes, TX
- NPI 1811087737
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1191456000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1328832000000",
"number": "1134317118",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12602 TOEPPERWEIN ROAD",
"address_2": "SUITE 202",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782333259",
"telephone_number": "210-599-8110",
"fax_number": "210-257-0627"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12602 TOEPPERWEIN ROAD",
"address_2": "SUITE 202",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782333259",
"telephone_number": "210-599-8110",
"fax_number": "210-257-0627"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PLES L KUJAWA MD PA",
"organizational_subpart": "NO",
"enumeration_date": "2007-10-04",
"last_updated": "2012-02-10",
"status": "A",
"authorized_official_last_name": "WEBSTER",
"authorized_official_first_name": "JEFFREY",
"authorized_official_middle_name": "CHARLES",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "210-599-8110"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "TX",
"license": "G5270",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "114144202",
"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 Feb 10, 2012; 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.