Individual provider Active NPI

Edward Leroy Giffin, M.D.

  • Otolaryngology Physician
  • San Antonio, TX
National Provider Identifier
1336212679
Registry record updated Dec 21, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
E3557 Issued in TX
Practice address
1 Maxwell GLN
San Antonio, TX 78257-1262
Phone
(210) 670-9030
Fax
(210) 675-4072
NPI assigned
Nov 16, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 21, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X E3557 TX Primary
Surgery Physician 208600000X E3557 TX

Addresses

Primary practice location

1 Maxwell GLN
San Antonio, TX 78257-1262

Mailing address

1 Maxwell GLN
San Antonio, TX 78257-1262
Phone (210) 670-9030

Other identifiers 1

IdentifierTypeStateIssuer
120583303MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Kevin B. Browne, M.D. P.a. Otolaryngology Past Accepting new patients
Everett P. Bratcher M.D.P.a. Surgery Past Accepting new patients
Medical Center Orthopaedics PA Past Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1163635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1261353600000",
    "number": "1336212679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 MAXWELL GLN",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782571262",
            "telephone_number": "210-670-9030",
            "fax_number": "210-675-4072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 MAXWELL GLN",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782571262",
            "telephone_number": "210-670-9030",
            "fax_number": "210-675-4072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIFFIN",
        "first_name": "EDWARD",
        "middle_name": "LEROY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-16",
        "last_updated": "2009-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "TX",
            "license": "E3557",
            "primary": true
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "TX",
            "license": "E3557",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "120583303",
            "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 21, 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.