NPIMap

Organization Active NPI

San Antonio Medical Clinic PA

  • Specialist
  • San Antonio, TX
National Provider Identifier
1285856591
Registry record updated Feb 8, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
D4560 Issued in TX
Legal business name
SAN ANTONIO MEDICAL CLINIC PA
Practice address
12770 Cimarron Path
Suite 132
San Antonio, TX 78249-3427
Phone
(210) 614-3900
Fax
(210) 614-7270
NPI assigned
May 3, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2012

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

Authorized official

Name
Dr. James W. Simmons Jr., MDNPI 1407855729
Title
Doctor
Phone
(210) 614-3900

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X D4560 TX Primary

Addresses

Primary practice location

12770 Cimarron Path
Suite 132
San Antonio, TX 78249-3427

Mailing address

12770 Cimarron Path
Suite 132
San Antonio, TX 78249-3427
Phone (210) 614-3900

Other identifiers 3

IdentifierTypeStateIssuer
137028008MedicaidTX
204068400OtherU S DEPT OF LABOR
10279OtherTXUS DEPT OF LABOR & IND

Other names 1

  • Alamo Bone & Joint Clinic Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1328659200000",
    "number": "1285856591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12770 CIMARRON PATH",
            "address_2": "SUITE 132",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782493427",
            "telephone_number": "210-614-3900",
            "fax_number": "210-614-7270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12770 CIMARRON PATH",
            "address_2": "SUITE 132",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782493427",
            "telephone_number": "210-614-3900",
            "fax_number": "210-614-7270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAN ANTONIO MEDICAL CLINIC PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-03",
        "last_updated": "2012-02-08",
        "status": "A",
        "authorized_official_last_name": "SIMMONS",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "W.",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "210-614-3900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "TX",
            "license": "D4560",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "137028008",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "U S DEPT OF LABOR",
            "identifier": "204068400",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "US DEPT OF LABOR & IND",
            "identifier": "10279",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Alamo Bone & Joint Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Feb 8, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.