Gcsa Ambulatory Surgery Center, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

GCSA AMBULATORY SURGERY CENTER, LLC

Practice address

5223 Hamilton Wolfe
San Antonio, TX 78229

Phone

(210) 614-1234

Fax

(210) 614-0952

NPI assigned

Jan 7, 2013

Organization subpart

No

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

Authorized official

Name

Peter Blach

Title

Officer / Authorized Official

Phone

(713) 343-0832

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Gcsa Ambulatory Surgery Center, LLC

  • Ambulatory Surgical Clinic/Center
  • San Antonio, TX
  • NPI 1225375587

  9537308747

  Same PAC ID
• Gcsa Ambulatory Surgery Center, LLC

  • Ambulatory Surgical Clinic/Center
  • Live Oak, TX
  • NPI 1306263983

  9537308747

  Same PAC ID

Listed as

Gastroenterology Consultants of San Antonio Med CtrCCN 45C0001139

Medicare certification status

ActiveFrom the Provider of Services file

Tax ID family

Ability Network3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Gcsa Ambulatory Surgery Center, LLC

  • Ambulatory Surgical Clinic/Center
  • San Antonio, TX
  • NPI 1225375587
  NPD tax ID
• Gcsa Ambulatory Surgery Center, LLC

  • Ambulatory Surgical Clinic/Center
  • Live Oak, TX
  • NPI 1306263983
  NPD tax ID

Member of 2

Organizations this organization is a member of, according to the National Provider Directory.

• Baylor University Medical Center

  • General Acute Care Hospital
  • Dallas, TX
  • NPI 1447250253

  Member Of

  NPD member
• VHS San Antonio Partners LLC

  • Psychiatric Hospital Unit
  • San Antonio, TX
  • NPI 1487633509

  Member Of

  NPD member

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

{
    "created_epoch": "1357516800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728259200000",
    "number": "1275870537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4801 NW LOOP 410 STE 812",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782295347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5223 HAMILTON WOLFE",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "78229",
            "telephone_number": "210-614-1234",
            "fax_number": "210-614-0952"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GCSA AMBULATORY SURGERY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-07",
        "last_updated": "2024-10-07",
        "certification_date": "2024-10-07",
        "status": "A",
        "authorized_official_last_name": "BLACH",
        "authorized_official_first_name": "PETER",
        "authorized_official_title_or_position": "OFFICER / AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "713-343-0832"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://esmd.abilitynetwork.com:8291/gateway/documentsubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "affiliationName": "Ability Network",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "100 N 6th St Ste 900A",
            "city": "Minneapolis",
            "state": "MN",
            "country_code": "US",
            "postal_code": "554031516",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Gerarado Gaytan
• Leslie Gaytan
• Bolanle O. Gbadebo, MD
• June Marie Gbapaywea, RN
• Gcsa Ambulatory Surgery Center, LLC
• Gcsa Anesthesia PLLC
• Lu Ge, PHARM.D.
• Christine L. Gear, MD
• Brenda L Gearhart, LCDC
• Daniel John Gebhard, M.D.

• Ambulatory Surgical Clinic/Center in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Ambulatory Surgical Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.