Organization Active NPI

Urology San Antonio P a

  • Urology Physician
  • San Antonio, TX
National Provider Identifier
1346285772
Registry record updated Aug 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
Legal business name
UROLOGY SAN ANTONIO P A
Practice address
7909 Fredericksburg Rd Ste 135
San Antonio, TX 78229-3425
Phone
(210) 614-4544
Fax
(210) 679-3714
NPI assigned
Jun 19, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2023

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

Authorized official

Name
William Harmon, MDNPI 1104806207
Title
President
Phone
(210) 614-4544

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 TX Primary
Clinical Medical Laboratory 291U00000X TX

Addresses

Primary practice location

7909 Fredericksburg Rd Ste 135
San Antonio, TX 78229-3425

Mailing address

7909 Fredericksburg Rd
Suite #110
San Antonio, TX 78229-3425
Phone (210) 614-4544

Other identifiers 3

IdentifierTypeStateIssuer
084053002MedicaidTX
084053001MedicaidTX
1346285772OtherTXNPI

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040731000077 TX Part B Supplier - Clinic/Group Practice 3274429311 Receives reassigned benefits from 49 practitioners
Practice locations: San Antonio, TX; Live Oak, TX; Boerne, TX; New Braunfels, 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

Locations

12709 Toepperwein Rd
Ste 206
Live Oak, TX 78233
Phone (210) 564-8000

2020 Sundance Pkwy
Ste A2
New Braunfels, TX 78130
Phone (830) 246-2112

598 N Union Ave
Ste 320
New Braunfels, TX 78130
Phone (830) 627-3800

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

7909 Fredericksburg Rd
Ste 227
San Antonio, TX 78229
Phone (210) 354-2229

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

10431 State Highway 151
San Antonio, TX 78251
Phone (210) 450-6440

9819 Huebner Rd
Bldg 4
San Antonio, TX 78240
Phone (210) 251-2024

7909 Fredericksburg Rd
Ste 125
San Antonio, TX 78229
Phone (210) 731-2050

Practitioners & affiliated clinicians

Practitioners 66

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 66

NPI Registry JSON

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

{
    "created_epoch": "1150675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1691452800000",
    "number": "1346285772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7909 FREDERICKSBURG RD",
            "address_2": "SUITE #110",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782293425",
            "telephone_number": "210-614-4544",
            "fax_number": "210-679-3724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7909 FREDERICKSBURG RD STE 135",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782293425",
            "telephone_number": "210-614-4544",
            "fax_number": "210-679-3714"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UROLOGY SAN ANTONIO P A",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-19",
        "last_updated": "2023-08-08",
        "certification_date": "2023-08-08",
        "status": "A",
        "authorized_official_last_name": "HARMON",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "210-614-4544",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Urology",
            "state": "TX",
            "license": null,
            "primary": true
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "TX",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "084053002",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "084053001",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1346285772",
            "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 Aug 8, 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.