Organization Active NPI

Perin Gomer Suthakar MD

  • Medical Specialty Clinic/Center
  • San Antonio, TX
National Provider Identifier
1235382912
Registry record updated Feb 3, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
N0489 Issued in TX
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, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2009

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)CodeLicenseStatePrimary
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 Directory

Locations

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

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.

Verify at the official NPI Registry.