Richard Lee Anschutz, PA-C
Individual provider Active NPI Medical Physician Assistant · Ft Sam Houston, TX
NPI 1265403695 · NPPES record last updated Jun 2, 2009
Key facts
- NPI
- 1265403695
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Medical Physician Assistant 363AM0700X
- License
- PA04866 (TX)
- Practice address
- 3851 Roger Brooke Dr, McHe-QD (Creds),
Brooke Army Medical Center
Ft Sam Houston, TX 78234-6200 - Phone
- (210) 916-3598
- NPI assigned
- Feb 1, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 6
Medicare Care Compare profile
Merit-based Incentive Payment System (MIPS)
- Final score
- 99.43 of 100
- Quality
- 93.73
- Promoting interoperability
- 100
- Improvement activities
- 40
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070606000131 | TX | Practitioner - Physician Assistant | 5890893424 | Reassigns benefits to 4 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Texas Em-1 Medical Services, PA | Physician Assistant | Past | Accepting new patients |
| Texas Emergency Room Services PA | Past | Accepting new patients |
Interoperability endpoints
- ranschutz66890@shannonhealth.direct-ci.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | |||
| Medical Physician Assistant | 363AM0700X | PA04866 | TX | Yes |
Addresses
Primary practice location
3851 Roger Brooke Dr, McHe-QD (Creds),
Brooke Army Medical Center
Ft Sam Houston, TX 78234-6200
Mailing address
23522 Rockbrook CV
San Antonio, TX 78261-2348
Phone (210) 437-0266
NPI Registry JSON
{
"created_epoch": "1138752000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1243900800000",
"number": "1265403695",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23522 ROCKBROOK CV",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782612348",
"telephone_number": "210-437-0266"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3851 ROGER BROOKE DR, MCHE-QD (CREDS),",
"address_2": "BROOKE ARMY MEDICAL CENTER",
"city": "FT SAM HOUSTON",
"state": "TX",
"postal_code": "782346200",
"telephone_number": "210-916-3598"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANSCHUTZ",
"first_name": "RICHARD",
"middle_name": "LEE",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-01",
"last_updated": "2009-06-02",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": false
},
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "TX",
"license": "PA04866",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ft Sam Houston, TX
- Michelle Andrus
- Share Dawn Angel
- Carlos Efrain Angueira
- Mirna Anguiano
- Mary Anibuali
- Janette Ansorge
- Mark A. Antonacci
- Vincent Matthew Antunez
- Faten Anwar
- Anuli Lovett Anyachebelu
All providers in Ft Sam Houston, TX · Medical Physician Assistant in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 2, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.