Organization Active NPI

David G. Shulman, M.D., P.a.

  • Ophthalmology Physician
  • San Antonio, TX
National Provider Identifier
1194850123
Registry record updated Oct 17, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
E1751 Issued in TX
Legal business name
DAVID G. SHULMAN, M.D., P.A.
Practice address
999 E Basse Rd
Suite 127
San Antonio, TX 78209-1801
Phone
(210) 821-6901
Fax
(210) 821-6941
NPI assigned
Feb 22, 2007
Last updated
Oct 17, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2007

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

Authorized official

Name
Tiffany P Samson, CMOM
Title
Administrator
Phone
(210) 821-6901

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X E1751 TX Primary

Addresses

Primary practice location

999 E Basse Rd
Suite 127
San Antonio, TX 78209-1801

Mailing address

999 E Basse Rd
Suite 127
San Antonio, TX 78209-1801
Phone (210) 821-6901

National Provider Directory

National Provider Directory

Locations

999 E Basse Rd
Ste 127
San Antonio, TX 78209
Phone (210) 821-6901

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.

NPI Registry JSON

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

{
    "created_epoch": "1172102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192579200000",
    "number": "1194850123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "999 E BASSE RD",
            "address_2": "SUITE 127",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782091801",
            "telephone_number": "210-821-6901",
            "fax_number": "210-821-6941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "999 E BASSE RD",
            "address_2": "SUITE 127",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782091801",
            "telephone_number": "210-821-6901",
            "fax_number": "210-821-6941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID G. SHULMAN, M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-22",
        "last_updated": "2007-10-17",
        "status": "A",
        "authorized_official_last_name": "SAMSON",
        "authorized_official_first_name": "TIFFANY",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "210-821-6901",
        "authorized_official_credential": "CMOM"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "TX",
            "license": "E1751",
            "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 17, 2007; 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.