Active NPI
Angela Marie Vrooman, D.O.
- Spinal Cord Injury Medicine Physician
- San Antonio, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Spinal Cord Injury Medicine Physician
- License
- P8745
- Practice address
- 7400 Merton Minter
Scic Mail Stop 128
San Antonio, TX 78229-4404 - Phone
- (210) 617-5300
- NPI assigned
- Apr 4, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | P8745 | TX | |
| Spinal Cord Injury Medicine Physician | 2081P0004X | P8745 | TX | Primary |
Addresses
Primary practice location
7400 Merton Minter
Scic Mail Stop 128
San Antonio, TX 78229-4404
Mailing address
7400 Merton Minter Ave
Scic (Mail Code 128)
San Antonio, TX 78229
Phone (210) 617-5300
Other practice location 1
4502 Medical Dr
San Antonio, TX 78229-4402
Phone (210) 358-0770
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 341719803 | Other | TX | CSHCN |
| 341719802 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P8745 | TX | MD | Spinal Cord Injury Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Texas Health Science Center at San Antonio | Physical Medicine & Rehabilitation | Current | Accepting new patients |
| The University of Texas Health Science Center at San Antonio | Current | Accepting new patients |
Locations
4647 Medical Dr
San Antonio, TX 78229
Phone (210) 358-2710
4502 Medical Dr
San Antonio, TX 78229
Phone (210) 358-3555
7703 Floyd Curl Dr
San Antonio, TX 78229
Phone (210) 450-3700
7400 Merton Minter St
#128
San Antonio, TX 78229
Phone (210) 949-3072
7400 Merton Minter St
Stop 128
San Antonio, TX 78229
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Internal Medicine Physician
- San Antonio, TX
- NPI 1720051717
Physical Medicine & Rehabilitation
-
- General Acute Care Hospital
- San Antonio, TX
- NPI 1326829904
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1333497600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1265798268",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7400 MERTON MINTER AVE",
"address_2": "SCIC (MAIL CODE 128)",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "78229",
"telephone_number": "210-617-5300",
"fax_number": "210-949-3327"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7400 MERTON MINTER",
"address_2": "SCIC MAIL STOP 128",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782294404",
"telephone_number": "210-617-5300"
}
],
"practiceLocations": [
{
"address_1": "4502 Medical Dr",
"address_purpose": "LOCATION",
"city": "San Antonio",
"state": "TX",
"postal_code": "782294402",
"country_code": "US",
"telephone_number": "210-358-0770",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "VROOMAN",
"first_name": "ANGELA",
"middle_name": "MARIE",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-04-04",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "TX",
"license": "P8745",
"primary": false
},
{
"code": "2081P0004X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation, Spinal Cord Injury Medicine",
"state": "TX",
"license": "P8745",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CSHCN",
"identifier": "341719803",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "341719802",
"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 Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.