Active NPI
Endocrinology Nuclear Medicine Associates PA
- Endocrinology, Diabetes & Metabolism Physician
- San Antonio, TX
National Provider Identifier
1366581589
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endocrinology, Diabetes & Metabolism Physician
- Legal business name
- ENDOCRINOLOGY NUCLEAR MEDICINE ASSOCIATES PA
- Practice address
- 1303 McCullough Ave
Suite 374
San Antonio, TX 78212-5615 - Phone
- (210) 223-5483
- Fax
- (210) 223-5492
- NPI assigned
- Feb 5, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Yolanda M Lopez
- Title
- Office Manager
- Phone
- (210) 223-5483
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Endocrinology, Diabetes & Metabolism Physician | 207RE0101X | Primary |
Addresses
Primary practice location
1303 McCullough Ave
Suite 374
San Antonio, TX 78212-5615
Mailing address
1303 McCullough Ave
Suite 374
San Antonio, TX 78212-5615
Phone (210) 223-5483
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 083522501 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 45D0660420 | Endocrinology Nuclear Medicine | Certificate of waiver | Nov 1, 2027 |
National Provider Directory
National Provider DirectoryLocations
1303 McCullough Ave
Ste 374
San Antonio, TX 78212
Phone (210) 223-5483
Interoperability endpoints
- https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.441.1181
Practitioners & affiliated clinicians
Practitioners 6
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Endocrinology, Diabetes & Metabolism Physician
- San Antonio, TX
- NPI 1255301149
-
- Endocrinology, Diabetes & Metabolism Physician
- San Antonio, TX
- NPI 1508286527
-
- Endocrinology, Diabetes & Metabolism Physician
- San Antonio, TX
- NPI 1962541466
-
- Endocrinology, Diabetes & Metabolism Physician
- San Antonio, TX
- NPI 1235313321
-
- Family Nurse Practitioner
- San Antonio, TX
- NPI 1386959120
-
- Endocrinology, Diabetes & Metabolism Physician
- San Antonio, TX
- NPI 1922147271
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170633600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1321920000000",
"number": "1366581589",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1303 MCCULLOUGH AVE",
"address_2": "SUITE 374",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782125615",
"telephone_number": "210-223-5483",
"fax_number": "210-223-5492"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1303 MCCULLOUGH AVE",
"address_2": "SUITE 374",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782125615",
"telephone_number": "210-223-5483",
"fax_number": "210-223-5492"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ENDOCRINOLOGY NUCLEAR MEDICINE ASSOCIATES PA",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-05",
"last_updated": "2011-11-22",
"status": "A",
"authorized_official_last_name": "LOPEZ",
"authorized_official_first_name": "YOLANDA",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "210-223-5483",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "207RE0101X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "083522501",
"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 Nov 22, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.