Organization Active NPI

Scott L Sledge, MD PA

  • Specialist
  • San Antonio, TX
National Provider Identifier
1295923274
Registry record updated Dec 28, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
H0821 Issued in TX
Legal business name
SCOTT L SLEDGE, MD PA
Practice address
155 E Sonterra Blvd
Suite 211
San Antonio, TX 78258-3987
Phone
(210) 494-9600
Fax
(210) 494-9601
NPI assigned
Oct 4, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2009

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

Authorized official

Name
Dr. Scott L Sledge, M.D.
Title
Physician
Phone
(210) 494-9600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X H0821 TX Primary

Addresses

Primary practice location

155 E Sonterra Blvd
Suite 211
San Antonio, TX 78258-3987

Mailing address

155 E Sonterra Blvd
Suite 211
San Antonio, TX 78258-3987
Phone (210) 494-9600

Other identifiers 1

IdentifierTypeStateIssuer
110415003MedicaidTX

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1191456000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1261958400000",
    "number": "1295923274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 E SONTERRA BLVD",
            "address_2": "SUITE 211",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782583987",
            "telephone_number": "210-494-9600",
            "fax_number": "210-494-9601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 E SONTERRA BLVD",
            "address_2": "SUITE 211",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782583987",
            "telephone_number": "210-494-9600",
            "fax_number": "210-494-9601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCOTT L SLEDGE, MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-04",
        "last_updated": "2009-12-28",
        "status": "A",
        "authorized_official_last_name": "SLEDGE",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "210-494-9600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "TX",
            "license": "H0821",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110415003",
            "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 Dec 28, 2009; 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.