Active NPI
Edward Leroy Giffin, M.D.
- Otolaryngology Physician
- San Antonio, TX
National Provider Identifier
1336212679
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- E3557
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 120583303 | Medicaid | TX |
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
| Organization | Specialty | Status | New 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.
-
- Surgery Physician
- San Antonio, TX
- NPI 1528299831
-
- Otolaryngology Physician
- San Antonio, TX
- NPI 1588843478
-
- Orthopaedic Surgery Physician
- San Antonio, TX
- NPI 1417066655
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.