Organization Active NPI

Medsurge Alliance, PA

  • Anesthesiology Physician
  • San Antonio, TX
National Provider Identifier
1346481611
Registry record updated Mar 17, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
L7996 Issued in TX
Legal business name
MEDSURGE ALLIANCE, PA
Practice address
2425 Babcock Rd
Suite 108
San Antonio, TX 78229-4898
Phone
(210) 616-9400
Fax
(210) 616-9402
NPI assigned
Mar 17, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2009

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

Authorized official

Name
Dmitry V Buyanov, MD
Title
Owner
Phone
(210) 616-9400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207L00000X L7996 TX Primary

Addresses

Primary practice location

2425 Babcock Rd
Suite 108
San Antonio, TX 78229-4898

Mailing address

2425 Babcock Rd
Suite 108
San Antonio, TX 78229-4898
Phone (210) 616-9400

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1237248000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1237248000000",
    "number": "1346481611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2425 BABCOCK RD",
            "address_2": "SUITE 108",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782294898",
            "telephone_number": "210-616-9400",
            "fax_number": "210-616-9402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2425 BABCOCK RD",
            "address_2": "SUITE 108",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782294898",
            "telephone_number": "210-616-9400",
            "fax_number": "210-616-9402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDSURGE ALLIANCE, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-17",
        "last_updated": "2009-03-17",
        "status": "A",
        "authorized_official_last_name": "BUYANOV",
        "authorized_official_first_name": "DMITRY",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "210-616-9400",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": "TX",
            "license": "L7996",
            "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 Mar 17, 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.