NPIMap

Organization Active NPI

South Texas Aesthetic and Reconstructive Surgery PLLC

Doing business as STARS Plastic Surgery

  • Plastic and Reconstructive Surgery Physician
  • San Antonio, TX
National Provider Identifier
1285042556
Registry record updated May 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X
Legal business name
SOUTH TEXAS AESTHETIC AND RECONSTRUCTIVE SURGERY PLLC
Doing business as
STARS Plastic Surgery
Practice address
8042 Wurzbach Rd
Suite 130
San Antonio, TX 78229-3818
Phone
(210) 201-2806
Fax
(888) 878-2254
NPI assigned
Jul 30, 2014
Last updated
May 31, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 31, 2022

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

Authorized official

Name
Selina Martinez
Title
Administrative Director
Phone
(210) 201-2806

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic and Reconstructive Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2086S0122X Primary

Addresses

Primary practice location

8042 Wurzbach Rd
Suite 130
San Antonio, TX 78229-3818

Mailing address

8042 Wurzbach Rd
Suite 130
San Antonio, TX 78229-3818
Phone (210) 201-2806

Other names 2

  • STARS Plastic Surgery Doing business as
  • SOUTH TEXAS AESTHETIC AND RECONSTRUCTIVE SURGERY, PLLC Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170218000137 TX Part B Supplier - Clinic/Group Practice 5890078703 Receives reassigned benefits from 9 practitioners
Practice locations: San Antonio, TX

National Provider Directory

National Provider Directory

Locations

8042 Wurzbach Rd
Ste 130
San Antonio, TX 78229
Phone (210) 201-2806

84 NE Loop 410
Ste 320
San Antonio, TX 78216

Practitioners & affiliated clinicians

Practitioners 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1406678400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1653955200000",
    "number": "1285042556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8042 WURZBACH RD",
            "address_2": "SUITE 130",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782293818",
            "telephone_number": "210-201-2806",
            "fax_number": "888-878-2254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8042 WURZBACH RD",
            "address_2": "SUITE 130",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782293818",
            "telephone_number": "210-201-2806",
            "fax_number": "888-878-2254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH TEXAS AESTHETIC AND RECONSTRUCTIVE SURGERY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-30",
        "last_updated": "2022-05-31",
        "certification_date": "2022-05-31",
        "status": "A",
        "authorized_official_last_name": "MARTINEZ",
        "authorized_official_first_name": "SELINA",
        "authorized_official_title_or_position": "ADMINISTRATIVE DIRECTOR",
        "authorized_official_telephone_number": "210-201-2806"
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "STARS Plastic Surgery",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "STARS Plastic Surgery",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "SOUTH TEXAS AESTHETIC AND RECONSTRUCTIVE SURGERY, PLLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 May 31, 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.