Individual provider Active NPI

Courtney Sprague Aldridge, PA-C

  • Medical Physician Assistant
  • San Antonio, TX
National Provider Identifier
1205966819
Registry record updated Aug 16, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
03615 Issued in TX
Practice address
9238 Floyd Curl Dr
Ste 101
San Antonio, TX 78240-1690
Phone
(210) 558-6234
Fax
(210) 615-1840
NPI assigned
Mar 6, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 03615 TX Primary

Addresses

Primary practice location

9238 Floyd Curl Dr
Ste 101
San Antonio, TX 78240-1690

Mailing address

PO Box 2317
San Antonio, TX 78298-2317
Phone (210) 558-6234

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080806000038 TX Practitioner - Physician Assistant 4880768035 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
South Texas Skin Cancer Center LLCGroup PAC ID 4486906229, 2 clinicians

Practice addresses (Care Compare)

9238 Floyd Curl Dr
Suite 101
San Antonio, TX 78240-1691
Phone (210) 558-6234

Merit-based Incentive Payment System (MIPS)

Final score
93.22 of 100Reported as group
Quality
86.44
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
03615TXMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Ryan O'Quinn MD Past Accepting new patients

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1173139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1313452800000",
    "number": "1205966819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2317",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782982317",
            "telephone_number": "210-558-6234",
            "fax_number": "210-615-1840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9238 FLOYD CURL DR",
            "address_2": "STE 101",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782401690",
            "telephone_number": "210-558-6234",
            "fax_number": "210-615-1840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALDRIDGE",
        "first_name": "COURTNEY",
        "middle_name": "SPRAGUE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-06",
        "last_updated": "2011-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "TX",
            "license": "03615",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.