Organization Active NPI

Stone Oak Rheumatology PA

  • Rheumatology Physician
  • San Antonio, TX
National Provider Identifier
1235128240
Registry record updated Jul 13, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
H2819 Issued in TX
Legal business name
STONE OAK RHEUMATOLOGY PA
Practice address
155 E Sonterra Blvd
Suite 211
San Antonio, TX 78258-3987
Phone
(210) 490-1111
Fax
(210) 490-3833
NPI assigned
Oct 21, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2007

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

Authorized official

Name
Dr. Laura A Suarez, MDNPI 1366430365
Title
Owner
Phone
(210) 490-1111

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
Rheumatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RR0500X H2819 TX Primary

Addresses

Primary practice location

155 E Sonterra Blvd
Suite 211
San Antonio, TX 78258-3987

Mailing address

155 E Sonterra Blvd
Suite 211
San Antonio, TX 78258-3987
Phone (210) 490-1111

Other identifiers 3

IdentifierTypeStateIssuer
A002OtherTXCHAMPUS
5397113OtherTXAETNA
00347ROtherTXBLUE CROSS BLUE SHIELD

National Provider Directory

National Provider Directory

Locations

14701 San Pedro Ave
Ste 240
San Antonio, TX 78232
Phone (210) 490-1111

Practitioners & affiliated clinicians

Practitioners 2

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": "1129852800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184284800000",
    "number": "1235128240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 E SONTERRA BLVD",
            "address_2": "SUITE 211",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782583987",
            "telephone_number": "210-490-1111",
            "fax_number": "210-490-3833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 E SONTERRA BLVD",
            "address_2": "SUITE 211",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782583987",
            "telephone_number": "210-490-1111",
            "fax_number": "210-490-3833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STONE OAK RHEUMATOLOGY PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-21",
        "last_updated": "2007-07-13",
        "status": "A",
        "authorized_official_last_name": "SUAREZ",
        "authorized_official_first_name": "LAURA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "210-490-1111",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Rheumatology",
            "state": "TX",
            "license": "H2819",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHAMPUS",
            "identifier": "A002",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5397113",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "00347R",
            "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 Jul 13, 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.