Organization Active NPI

William J Peche, M.D., P. a

  • Clinic/Center
  • San Antonio, TX
National Provider Identifier
1306018676
Registry record updated Sep 2, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
WILLIAM J PECHE, M.D., P. A
Practice address
205 E Evergreen St
San Antonio, TX 78212-4748
Phone
(210) 225-2641
Fax
(210) 225-7873
NPI assigned
Mar 27, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2009

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

Authorized official

Name
Dr. William J Peche, M.D.
Title
President
Phone
(210) 225-2641

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

205 E Evergreen St
San Antonio, TX 78212-4748

Mailing address

205 E Evergreen St
San Antonio, TX 78212-4748
Phone (210) 225-2641

Other identifiers 2

IdentifierTypeStateIssuer
8BE100OtherTXBLUE CROSS
033225601MedicaidTX

National Provider Directory

National Provider Directory

Locations

205 E Evergreen St
San Antonio, TX 78212
Phone (210) 225-2641

NPI Registry JSON

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

{
    "created_epoch": "1206576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1251849600000",
    "number": "1306018676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 E EVERGREEN ST",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782124748",
            "telephone_number": "210-225-2641",
            "fax_number": "210-225-7873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 E EVERGREEN ST",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782124748",
            "telephone_number": "210-225-2641",
            "fax_number": "210-225-7873"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAM J PECHE, M.D., P. A",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-27",
        "last_updated": "2009-09-02",
        "status": "A",
        "authorized_official_last_name": "PECHE",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "210-225-2641",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "8BE100",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "033225601",
            "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 Sep 2, 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.