NPIMap

Organization Active NPI

Pediatric Anesthesia Consultants of San Antonio PLLC

  • Pediatric Anesthesiology Physician
  • San Antonio, TX
National Provider Identifier
1205089406
Registry record updated Mar 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Anesthesiology PhysicianTaxonomy code 207LP3000X
Legal business name
PEDIATRIC ANESTHESIA CONSULTANTS OF SAN ANTONIO PLLC
Practice address
7700 Floyd Curl Dr
San Antonio, TX 78229-3902
Phone
(210) 575-7827
Fax
(866) 741-3697
NPI assigned
Oct 31, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2011

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

Authorized official

Name
Ms. Roberta S Cloud
Title
Vice President of Managing Member
Phone
(210) 575-7827

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207L00000X
Pediatric Anesthesiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207LP3000X Primary

Addresses

Primary practice location

7700 Floyd Curl Dr
San Antonio, TX 78229-3902

Mailing address

7711 Louis Pasteur Dr
Ste 708
San Antonio, TX 78229-3415
Phone (210) 575-7828

Other identifiers 3

IdentifierTypeStateIssuer
19779104OtherTXCSHCN
197749801MedicaidTX
197749803MedicaidTX

National Provider Directory

National Provider Directory

Locations

7711 Louis Pasteur Dr
Ste 708
San Antonio, TX 78229
Phone (210) 614-6391

Practitioners & affiliated clinicians

Practitioners 7

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": "1225411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1300665600000",
    "number": "1205089406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7711 LOUIS PASTEUR DR",
            "address_2": "STE 708",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782293415",
            "telephone_number": "210-575-7828",
            "fax_number": "866-741-3697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7700 FLOYD CURL DR",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782293902",
            "telephone_number": "210-575-7827",
            "fax_number": "866-741-3697"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC ANESTHESIA CONSULTANTS OF SAN ANTONIO PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-31",
        "last_updated": "2011-03-21",
        "status": "A",
        "authorized_official_last_name": "CLOUD",
        "authorized_official_first_name": "ROBERTA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "VICE PRESIDENT OF MANAGING MEMBER",
        "authorized_official_telephone_number": "210-575-7827",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207LP3000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology, Pediatric Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CSHCN",
            "identifier": "19779104",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "197749801",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "197749803",
            "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 Mar 21, 2011; 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.