Organization Active NPI

Quickdoc, PA

  • Family Medicine Physician
  • San Antonio, TX
National Provider Identifier
1356767958
Registry record updated Feb 8, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
J2212 Issued in TX
Legal business name
QUICKDOC, PA
Practice address
6136 Bandera Rd Ste 101
San Antonio, TX 78238-1642
Phone
(210) 593-4000
Fax
(210) 593-4003
NPI assigned
Mar 7, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2017

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

Authorized official

Name
Roger M Moczygemba, MD
Title
Owner
Phone
(210) 593-4000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X J2212 TX Primary

Addresses

Primary practice location

6136 Bandera Rd Ste 101
San Antonio, TX 78238-1642

Mailing address

6136 Bandera Rd Ste 101
San Antonio, TX 78238-1642
Phone (210) 593-4000

Other identifiers 1

IdentifierTypeStateIssuer
J2212OtherTXLICENSE

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1394150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1486512000000",
    "number": "1356767958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6136 BANDERA RD STE 101",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782381642",
            "telephone_number": "210-593-4000",
            "fax_number": "210-593-4003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6136 BANDERA RD STE 101",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782381642",
            "telephone_number": "210-593-4000",
            "fax_number": "210-593-4003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUICKDOC, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-07",
        "last_updated": "2017-02-08",
        "status": "A",
        "authorized_official_last_name": "MOCZYGEMBA",
        "authorized_official_first_name": "ROGER",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "210-593-4000",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "J2212",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "J2212",
            "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 Feb 8, 2017; 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.