Active NPI
Patricia J Terry, MD
- Urology Physician
- San Antonio, TX
National Provider Identifier
1376523308
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- J0307
- Practice address
- 255 E Sonterra Blvd
Suite#200
San Antonio, TX 78258-4075 - Phone
- (210) 581-0376
- Fax
- (210) 581-0382
- NPI assigned
- Jan 17, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | J0307 | TX | Primary |
Addresses
Primary practice location
255 E Sonterra Blvd
Suite#200
San Antonio, TX 78258-4075
Mailing address
7909 Fredericksburg Rd
Suite#110
San Antonio, TX 78229-3425
Phone (210) 614-4544
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 045263301 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Urology San Antonio | Urology | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Urology Physician
- San Antonio, TX
- NPI 1659701845
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137456000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1251244800000",
"number": "1376523308",
"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": "210-582-5522"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "255 E SONTERRA BLVD",
"address_2": "SUITE#200",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782584075",
"telephone_number": "210-581-0376",
"fax_number": "210-581-0382"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TERRY",
"first_name": "PATRICIA",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-01-17",
"last_updated": "2009-08-26",
"status": "A"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "TX",
"license": "J0307",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "045263301",
"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 26, 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.