Organization Active NPI

Shavano Medical Management PLLC

  • Pain Medicine (Anesthesiology) Physician
  • San Antonio, TX
National Provider Identifier
1194292532
Registry record updated Oct 24, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
Legal business name
SHAVANO MEDICAL MANAGEMENT PLLC
Practice address
3603 Paesanos Pkwy Ste 100
San Antonio, TX 78231-1268
Phone
(210) 615-1901
Fax
(210) 615-1905
NPI assigned
Oct 24, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2018

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

Authorized official

Name
Dennis Edward Karasek, MDNPI 1679572994
Title
Owner
Phone
(210) 615-1901

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
Pain Medicine (Anesthesiology) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207LP2900X Primary

Addresses

Primary practice location

3603 Paesanos Pkwy Ste 100
San Antonio, TX 78231-1268

Mailing address

3603 Paesanos Pkwy Ste 100
San Antonio, TX 78231-1268
Phone (210) 615-1901

Other practice location 1

12602 Toepperwein Rd Ste 218
Live Oak, TX 78233-3271
Phone (210) 615-1901

Other practice location 2

3903 Wiseman Blvd Ste 311
San Antonio, TX 78251-4422
Phone (210) 615-1901

National Provider Directory

National Provider Directory

Locations

3903 Wiseman Blvd
Ste 311
San Antonio, TX 78251
Phone (210) 593-0578

Practitioners & affiliated clinicians

Practitioners 1

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": "1540339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1540339200000",
    "number": "1194292532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3603 PAESANOS PKWY STE 100",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782311268",
            "telephone_number": "210-615-1901",
            "fax_number": "210-615-1905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3603 PAESANOS PKWY STE 100",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782311268",
            "telephone_number": "210-615-1901",
            "fax_number": "210-615-1905"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12602 Toepperwein Rd Ste 218",
            "address_purpose": "LOCATION",
            "city": "Live Oak",
            "state": "TX",
            "postal_code": "782333271",
            "country_code": "US",
            "telephone_number": "210-615-1901",
            "fax_number": "210-615-1905",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3903 Wiseman Blvd Ste 311",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782514422",
            "country_code": "US",
            "telephone_number": "210-615-1901",
            "fax_number": "210-615-1905",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SHAVANO MEDICAL MANAGEMENT PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-24",
        "last_updated": "2018-10-24",
        "status": "A",
        "authorized_official_last_name": "KARASEK",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "210-615-1901",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 24, 2018; 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.