Active NPI
Perin Gomer Suthakar MD
- Medical Specialty Clinic/Center
- San Antonio, TX
National Provider Identifier
1235382912
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Specialty Clinic/Center
- License
- N0489
- Legal business name
- PERIN GOMER SUTHAKAR MD
- Practice address
- 540 Madison Oak Dr
Suite 130
San Antonio, TX 78258-3943 - Phone
- (210) 483-9800
- NPI assigned
- Oct 28, 2008
- Last updated
- Feb 3, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Perin Gomer Suthakar
- Title
- MD
- Phone
- (210) 483-9800
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Specialty Clinic/Center | 261QM2500X | N0489 | TX | Primary |
Addresses
Primary practice location
540 Madison Oak Dr
Suite 130
San Antonio, TX 78258-3943
Mailing address
540 Madison Oak Dr
Suite 130
San Antonio, TX 78258-3943
Phone (210) 483-9800
National Provider Directory
National Provider DirectoryLocations
540 Madison Oak Dr
Ste 130
San Antonio, TX 78258
Phone (210) 479-3233
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1225152000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1233619200000",
"number": "1235382912",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "540 MADISON OAK DR",
"address_2": "SUITE 130",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782583943",
"telephone_number": "210-483-9800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "540 MADISON OAK DR",
"address_2": "SUITE 130",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782583943",
"telephone_number": "210-483-9800"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PERIN GOMER SUTHAKAR MD",
"organizational_subpart": "NO",
"enumeration_date": "2008-10-28",
"last_updated": "2009-02-03",
"status": "A",
"authorized_official_last_name": "SUTHAKAR",
"authorized_official_first_name": "PERIN",
"authorized_official_middle_name": "GOMER",
"authorized_official_title_or_position": "MD",
"authorized_official_telephone_number": "210-483-9800",
"authorized_official_name_prefix": "Dr."
},
"taxonomies": [
{
"code": "261QM2500X",
"taxonomy_group": "",
"desc": "Clinic/Center, Medical Specialty",
"state": "TX",
"license": "N0489",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Antonio, TX
- Performance Therapeutics - San Antonio PLLC
- Performance Therapeutics San Antonio Westover, PLLC
- Pablo Ezequiel Pergola, MD
- Kay Pergrem
- Katarina Morgan Perguson
- Perinatal & Infertility Specialists PA (Perinatal Associates of San Antonio PA)
- Peripheral Vascular Associates, P.a.
- Cindy Carol Perkins-Wereley, L.C.S.W.
- Adelie Tristan Perkins, MD
- Avis Perkins, RN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.