Active NPI
5 Star Integrity Healthcare, LLC
- Family Medicine Physician
- San Antonio, TX
National Provider Identifier
1194210658
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- 5 STAR INTEGRITY HEALTHCARE, LLC
- Practice address
- 1300 West Ave Ste 201
San Antonio, TX 78201-3501 - Phone
- (210) 708-9329
- Fax
- (210) 817-8686
- NPI assigned
- Jun 27, 2018
- Last updated
- Apr 27, 2020
- 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
- Patricia V Gomez
- Title
- Owner
- Phone
- (210) 708-9329
Specialties & licenses 7
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary | ||
| Internal Medicine Physician | 207R00000X | |||
| General Practice Physician | 208D00000X | |||
| Medical Physician Assistant | 363AM0700X | |||
| Acute Care Nurse Practitioner | 363LA2100X | |||
| Family Nurse Practitioner | 363LF0000X | |||
| Women's Health Nurse Practitioner | 363LW0102X |
Addresses
Primary practice location
1300 West Ave Ste 201
San Antonio, TX 78201-3501
Mailing address
1300 West Ave Ste 201
San Antonio, TX 78201-3501
Phone (210) 708-9329
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
1300 West Ave
Ste 201
San Antonio, TX 78201
Phone (210) 708-9329
311 Future Dr
Ste 103
San Antonio, TX 78213
Phone (210) 708-9329
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.
-
- General Practice Physician
- San Antonio, TX
- NPI 1134440258
-
- Family Nurse Practitioner
- San Antonio, TX
- NPI 1487661781
Multi-Specialty
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1530057600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1587945600000",
"number": "1194210658",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1300 WEST AVE STE 201",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782013501",
"telephone_number": "210-708-9329",
"fax_number": "210-817-8686"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1300 WEST AVE STE 201",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782013501",
"telephone_number": "210-708-9329",
"fax_number": "210-817-8686"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "5 STAR INTEGRITY HEALTHCARE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-06-27",
"last_updated": "2020-04-27",
"certification_date": "2020-04-27",
"status": "A",
"authorized_official_last_name": "GOMEZ",
"authorized_official_first_name": "PATRICIA",
"authorized_official_middle_name": "V",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "210-708-9329"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": null,
"license": null,
"primary": false
},
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": null,
"license": null,
"primary": false
},
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": null,
"license": null,
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": null,
"license": null,
"primary": false
},
{
"code": "363LW0102X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Women's Health",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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- 6 To 9 Dental Texas,PLLC
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2020; 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.