San Antonio Military Medical Center

Primary specialty

Military HospitalTaxonomy code 286500000X

License

35165 Issued in TX

Legal business name

SAN ANTONIO MILITARY MEDICAL CENTER

Practice address

3851 Roger Brooke Dr
McHe-QD (Creds),
Fort Sam Houston, TX 78234-4501

Phone

(210) 916-3710

Fax

(210) 916-5102

NPI assigned

Mar 22, 2013

Organization subpart

No

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

Authorized official

Name

Ethel Morgan

Title

Credentials Coordinator

Phone

(210) 916-3710

Specialties & licenses 1

Addresses

Other names 1

• Behavioral Medicine-Neuropsychology Other name

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

{
    "created_epoch": "1363910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1363910400000",
    "number": "1225370711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3851 ROGER BROOKE DR",
            "address_2": "MCHE-QD (CREDS),",
            "city": "FORT SAM HOUSTON",
            "state": "TX",
            "postal_code": "782344501",
            "telephone_number": "210-916-3710",
            "fax_number": "210-916-5102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3851 ROGER BROOKE DR",
            "address_2": "MCHE-QD (CREDS),",
            "city": "FORT SAM HOUSTON",
            "state": "TX",
            "postal_code": "782344501",
            "telephone_number": "210-916-3710",
            "fax_number": "210-916-5102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAN ANTONIO MILITARY MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-22",
        "last_updated": "2013-03-22",
        "status": "A",
        "authorized_official_last_name": "MORGAN",
        "authorized_official_first_name": "ETHEL",
        "authorized_official_title_or_position": "CREDENTIALS COORDINATOR",
        "authorized_official_telephone_number": "210-916-3710"
    },
    "taxonomies": [
        {
            "code": "286500000X",
            "taxonomy_group": "",
            "desc": "Military Hospital",
            "state": "TX",
            "license": "35165",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Behavioral Medicine-Neuropsychology",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Idamae Denise Salomon
• Tyler Adam Salvato, FLIGHT PARAMEDIC
• Karen Melissa Salyars, MPAS, PA-C
• Amanda Kate Sammons, DSC., OTR/L
• Kathleen M Samsey, MD
• Ryan Mark Sanborn, MD
• Alexandra Sanchez, MD
• Dru Michelle Sanchez, LCSW
• Kerrie Anne Sanders, APRN
• Jared Charles Sangiorgi, APRN

• Military Hospital in Fort Sam Houston, TX
• Providers in Fort Sam Houston, TX by specialty
• Military Hospital in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2013; 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.