Individual provider Active NPI

Leahgail Tschoepe-White, PA-C

  • Physician Assistant
  • San Antonio, TX
National Provider Identifier
1255322590
Registry record updated Feb 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA02466 Issued in TX
Practice address
9139 Westover Hills Blvd Ste 101
San Antonio, TX 78251-2885
Phone
(210) 437-3990
NPI assigned
Nov 4, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA02466 TX Primary

Addresses

Primary practice location

9139 Westover Hills Blvd Ste 101
San Antonio, TX 78251-2885

Mailing address

277 Buddy Ganem Dr Ste a
Portland, TX 78374-3202
Phone (361) 777-3900

Other practice location 1

3903 Wiseman Blvd
Suite 215
San Antonio, TX 78251-4401
Phone (210) 675-6724

Other identifiers 1

IdentifierTypeStateIssuer
180747101MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Kellum Physician Partners, PA Past Accepting new patients
Topcare Medical Group Inc PastSince Feb 23, 2020 Accepting new patients
Almouie Pediatrics PastSince Feb 23, 2020 Accepting new patients

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1131062400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581984000000",
    "number": "1255322590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "277 BUDDY GANEM DR STE A",
            "city": "PORTLAND",
            "state": "TX",
            "postal_code": "783743202",
            "telephone_number": "361-777-3900",
            "fax_number": "361-413-0274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9139 WESTOVER HILLS BLVD STE 101",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782512885",
            "telephone_number": "210-437-3990"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3903 Wiseman Blvd",
            "address_2": "SUITE 215",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782514401",
            "country_code": "US",
            "telephone_number": "210-675-6724",
            "fax_number": "210-675-1759",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TSCHOEPE-WHITE",
        "first_name": "LEAHGAIL",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-04",
        "last_updated": "2020-02-18",
        "certification_date": "2020-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA02466",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "180747101",
            "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 Feb 18, 2020; 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.