Individual provider Active NPI

Lindsay Page Stephens, DO

  • Sports Medicine (Family Medicine) Physician
  • San Antonio, TX
National Provider Identifier
1164743621
Registry record updated Feb 12, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Family Medicine) PhysicianTaxonomy code 207QS0010X
License
P4385 Issued in TX
Practice address
16403 Huebner Rd
Suite 100
San Antonio, TX 78248-1683
Phone
(210) 493-4959
Fax
(210) 493-4355
NPI assigned
Jun 18, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Family Medicine) Physician 207QS0010X P4385 TX Primary

Addresses

Primary practice location

16403 Huebner Rd
Suite 100
San Antonio, TX 78248-1683

Mailing address

1511 Bluff FRST
San Antonio, TX 78248-2633
Phone (210) 363-3311

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141211000928 TX Practitioner - Family Practice 2264754704 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Lake Erie College of Osteopathic Medicine, Erie, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sports Medicine Associates of San Antonio PAGroup PAC ID 3274525548, 55 clinicians

Practice addresses (Care Compare)

21 Spurs LN
Suite 300
San Antonio, TX 78240-1679
Phone (210) 699-8326

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Sports Medicine Associates of San Antonio, PA Sports Medicine CurrentSince Sep 1, 2017 Accepting new patients
Ucp Physicians of Central Texas, PLLC CurrentSince Nov 1, 2014 Accepting new patients
Sports Medicine Associates of San Antonio, PA CurrentSince Sep 1, 2017 Accepting new patients
Ucp Physicians of Central Texas, PLLC CurrentSince Nov 1, 2014 Accepting new patients
Sports Medicine Associates of San Antonio, PA Past Accepting new patients
Impact Urgent Care PastSince Sep 17, 2012 Accepting new patients

Locations

6001 W William Cannon Dr
Ste 302
Austin, TX 78749
Phone (512) 288-3627

1331 Northpark Dr
Kingwood, TX 77339
Phone (281) 359-5330

12500 Judson Rd
Ste 201
Live Oak, TX 78233
Phone (210) 314-1071

1240 E Palm Valley Blvd
Round Rock, TX 78664
Phone (512) 733-9100

21 Spurs Ln
Ste 300
San Antonio, TX 78240
Phone (210) 561-7137

16403 Huebner Rd
Ste 100
San Antonio, TX 78248
Phone (210) 493-4357

1 Camino Santa Maria St
San Antonio, TX 78228
Phone (210) 431-5043

430 W Sunset Rd
Ste 440
San Antonio, TX 78209

10622 State Highway 151
Ste 205
San Antonio, TX 78251

21 Spurs Ln
Ste 210
San Antonio, TX 78240
Phone (832) 621-0699

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1276819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1423699200000",
    "number": "1164743621",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1511 BLUFF FRST",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782482633",
            "telephone_number": "210-363-3311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16403 HUEBNER RD",
            "address_2": "SUITE 100",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782481683",
            "telephone_number": "210-493-4959",
            "fax_number": "210-493-4355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEPHENS",
        "first_name": "LINDSAY",
        "middle_name": "PAGE",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-18",
        "last_updated": "2015-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "TX",
            "license": "P4385",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.