Organization Active NPI

J.Scott Luther, M.D., P.a

  • Neurology Physician
  • San Antonio, TX
National Provider Identifier
1295036796
Registry record updated Jun 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
Legal business name
J.SCOTT LUTHER, M.D., P.A
Practice address
4410 Medical Dr
Suite 240
San Antonio, TX 78229-6306
Phone
(210) 615-8070
Fax
(210) 615-6645
NPI assigned
Nov 15, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2011

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

Authorized official

Name
J.Scott Luther, M.D.,P.A.
Title
President
Phone
(210) 615-8070

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084N0400X Primary

Addresses

Primary practice location

4410 Medical Dr
Suite 240
San Antonio, TX 78229-6306

Mailing address

4410 Medical Dr
Suite240
San Antonio, TX 78229-6306
Phone (210) 615-8070

Other identifiers 2

IdentifierTypeStateIssuer
099320603MedicaidTX
0077WKOtherTXBCBS

Other names 1

  • Program Picante Doing business as

National Provider Directory

National Provider Directory

Locations

4410 Medical Dr
Ste 240
San Antonio, TX 78229
Phone (210) 615-8070

13409 NW Military Hwy
Ste 301
Shavano Park, TX 78231
Phone (210) 615-3658

NPI Registry JSON

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

{
    "created_epoch": "1289779200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1309219200000",
    "number": "1295036796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4410 MEDICAL DR",
            "address_2": "SUITE240",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782296306",
            "telephone_number": "210-615-8070",
            "fax_number": "210-615-6645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4410 MEDICAL DR",
            "address_2": "SUITE 240",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782296306",
            "telephone_number": "210-615-8070",
            "fax_number": "210-615-6645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J.SCOTT LUTHER, M.D., P.A",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-15",
        "last_updated": "2011-06-28",
        "status": "A",
        "authorized_official_last_name": "LUTHER",
        "authorized_official_first_name": "J.SCOTT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "210-615-8070",
        "authorized_official_credential": "M.D.,P.A."
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "099320603",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0077WK",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Program Picante",
            "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 Jun 28, 2011; 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.