NPIMap

Organization Active NPI

Urology San Antonio PA

  • Durable Medical Equipment & Medical Supplies
  • San Antonio, TX
National Provider Identifier
1336551126
Registry record updated Sep 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
G8179 Issued in TX
Legal business name
UROLOGY SAN ANTONIO PA
Practice address
18915 Meisner Dr
San Antonio, TX 78258-4223
Phone
(210) 499-5158
Fax
(210) 679-3730
NPI assigned
May 28, 2014
Last updated
Sep 24, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2019

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

Authorized official

Name
George Vassar, MDNPI 1932297157
Title
President
Phone
(210) 731-2050

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Urology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208800000X G8179 TX
Durable Medical Equipment & Medical Supplies 332B00000X G8179 TX Primary

Addresses

Primary practice location

18915 Meisner Dr
San Antonio, TX 78258-4223

Mailing address

7909 Fredericksburg Rd
Ste 110
San Antonio, TX 78229-3400
Phone (210) 614-4544

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140911001906 TX DME Supplier - Physician - Urology 3274429311 Practice locations: San Antonio, TX

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Urology San Antonio5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1303 McCullough Ave
Ste 270
San Antonio, TX 78212
Phone (210) 226-4800

18915 Meisner Dr
San Antonio, TX 78258
Phone (210) 499-5158

315 N San Saba
Ste 1295
San Antonio, TX 78207
Phone (210) 474-7020

315 N San Saba
Ste 990
San Antonio, TX 78207
Phone (210) 474-7020

3327 Research Plz
Ste 403
San Antonio, TX 78235
Phone (210) 337-6228

4212 E Southcross Blvd
Ste 125
San Antonio, TX 78222

540 Madison Oak Dr
Ste 590
San Antonio, TX 78258
Phone (210) 297-1028

7909 Fredericksburg Rd
Ste 110
San Antonio, TX 78229
Phone (210) 614-9603

7909 Fredericksburg Rd
Ste 130
San Antonio, TX 78229
Phone (210) 731-2050

Practitioners & affiliated clinicians

Practitioners 52

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 52

NPI Registry JSON

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

{
    "created_epoch": "1401235200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1569283200000",
    "number": "1336551126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7909 FREDERICKSBURG RD",
            "address_2": "STE 110",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782293400",
            "telephone_number": "210-614-4544",
            "fax_number": "210-679-3720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18915 MEISNER DR",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782584223",
            "telephone_number": "210-499-5158",
            "fax_number": "210-679-3730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UROLOGY SAN ANTONIO PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-28",
        "last_updated": "2019-09-24",
        "status": "A",
        "authorized_official_last_name": "VASSAR",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "210-731-2050",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Urology",
            "state": "TX",
            "license": "G8179",
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "TX",
            "license": "G8179",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 24, 2019; 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.