M&S Radiology Associates, PA

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

M&S RADIOLOGY ASSOCIATES, PA

Practice address

8715 Village Dr Ste 320
San Antonio, TX 78217-5407

Phone

(210) 858-8019

Fax

(210) 455-0169

NPI assigned

Nov 3, 2005

Last updated

Dec 20, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Phillip Fortenberry, M.D.NPI 1457307613

Title

President

Phone

(210) 892-0228

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX, CA, NC, UT, NV, IL, FL, MA, MN, NH, MI11 enrollments

Enrollment records 11

Locations

Practitioners 99

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Phillip L Fortenberry, M.D

  • Diagnostic Radiology Physician
  • San Antonio, TX
  • NPI 1457307613
  Medicare reassignment Care Compare group NPD Authorized official
• Alden Gregory Bailey, M.D.

  • Diagnostic Radiology Physician
  • San Antonio, TX
  • NPI 1902062532
  Medicare reassignment Care Compare group NPD
• Mark Alan Boykin, M.D.

  • Diagnostic Radiology Physician
  • San Antonio, TX
  • NPI 1912091109
  Medicare reassignment Care Compare group NPD
• Robert H Bruton, M.D.

  • Diagnostic Radiology Physician
  • San Antonio, TX
  • NPI 1558389981
  Medicare reassignment Care Compare group NPD
• Margo F Cervantes, M.D.

  • Diagnostic Radiology Physician
  • San Antonio, TX
  • NPI 1225069859
  Medicare reassignment Care Compare group NPD
• Robert Clayton Chandler, MD

  • Diagnostic Radiology Physician
  • San Antonio, TX
  • NPI 1114027992
  Medicare reassignment Care Compare group NPD
• Gretchann N Cline, PA-C

  • Physician Assistant
  • San Antonio, TX
  • NPI 1336578517
  Medicare reassignment Care Compare group NPD
• James Dimaala, M.D.

  • Diagnostic Radiology Physician
  • Fort Worth, TX
  • NPI 1265722656
  Medicare reassignment Care Compare group NPD
• Sara Y Gonzales, M.D.

  • Diagnostic Radiology Physician
  • Corpus Christi, TX
  • NPI 1891938924
  Medicare reassignment Care Compare group NPD
• Robert Jackson, M.D.

  • Diagnostic Radiology Physician
  • San Antonio, TX
  • NPI 1952712176
  Medicare reassignment Care Compare group NPD
• Noelle Reyes Lafitte, MD

  • Diagnostic Radiology Physician
  • San Antonio, TX
  • NPI 1205367992
  Medicare reassignment Care Compare group NPD
• Austin Alonzo Lindsey, M.D.

  • Diagnostic Radiology Physician
  • San Antonio, TX
  • NPI 1790164671
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1130976000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1671494400000",
    "number": "1265423693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "DEPT D8288",
            "address_2": "P O BOX 650002",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752650282",
            "telephone_number": "800-666-1816",
            "fax_number": "706-653-5917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8715 VILLAGE DR STE 320",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782175407",
            "telephone_number": "210-858-8019",
            "fax_number": "210-455-0169"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M&S RADIOLOGY ASSOCIATES, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-03",
        "last_updated": "2022-12-20",
        "certification_date": "2022-12-20",
        "status": "A",
        "authorized_official_last_name": "FORTENBERRY",
        "authorized_official_first_name": "PHILLIP",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "210-892-0228",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "164588901",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• M. Reza Mizani, M.D., P.a. (Texas Cadiology & Vein Center)
• M.C.Stores Inc
• M.G. Pharmaceutical, Inc.
• M&L Behavioral Health Consultants, LLC
• M&M Spine PLLC
• M3 Medical Practice PLLC
• Ma Hilas Heart Project Foundation (Ma Hila's Heart Counseling Services)
• Ma Medical Services, LLC
• Bert Zhu Ma, MD
• Ruiwen Ma

• Specialist in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Specialist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.