City of Shavano Park

Primary specialty

AmbulanceTaxonomy code 341600000X

Legal business name

CITY OF SHAVANO PARK

Practice address

15604 NW Military Hwy
Shavano Park, TX 78231-1537

Phone

(210) 492-1111

Fax

(210) 492-5884

NPI assigned

Oct 27, 2005

Organization subpart

No

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

Authorized official

Name

Brenda Morey

Title

Finance Director

Phone

(210) 477-0960

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

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

{
    "created_epoch": "1130371200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695859200000",
    "number": "1336139633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15604 NW MILITARY HWY",
            "city": "SHAVANO PARK",
            "state": "TX",
            "postal_code": "782311537",
            "telephone_number": "210-492-1111",
            "fax_number": "210-492-5884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15604 NW MILITARY HWY",
            "city": "SHAVANO PARK",
            "state": "TX",
            "postal_code": "782311537",
            "telephone_number": "210-492-1111",
            "fax_number": "210-492-5884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF SHAVANO PARK",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-27",
        "last_updated": "2023-09-28",
        "certification_date": "2023-09-28",
        "status": "A",
        "authorized_official_last_name": "MOREY",
        "authorized_official_first_name": "BRENDA",
        "authorized_official_title_or_position": "FINANCE DIRECTOR",
        "authorized_official_telephone_number": "210-477-0960"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "TX",
            "license": "015108",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "171420601",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "AMB418",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kelli Chandler, MA, LPC
• Micah Chapman
• Sumeet Naresh Chavan, MD
• Christian L Stallworth MD PLLC
• Christopher J Micallef DO PLLC
• Robert O. Cone III, M.D.
• Consultants in Pain Medicine, PLLC
• Stephen L Cunningham, M.D.
• Cynthia Trevino Curtiss, FNP-BC
• Kimberlee Kay Daughtry-Lopez, L.P.C.

• Ambulance in Shavano Park, TX
• Providers in Shavano Park, TX by specialty
• Ambulance in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2023; 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.