NPIMap

Organization Active NPI

San Antonio Pediatric Pulmonary & Critical Care Associates

  • Pediatric Pulmonology Physician
  • San Antonio, TX
National Provider Identifier
1376545624
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Pulmonology PhysicianTaxonomy code 2080P0214X
License
G6858 Issued in TX
Legal business name
SAN ANTONIO PEDIATRIC PULMONARY & CRITICAL CARE ASSOCIATES
Practice address
4499 Medical Dr
Ste 255
San Antonio, TX 78229-3757
Phone
(210) 614-3403
Fax
(210) 615-7804
NPI assigned
Jun 1, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Martha Ruth Morse, MD.,F.A.A.P.
Title
Physician
Phone
(210) 614-3403

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Pulmonology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2080P0214X G6858 TX Primary

Addresses

Primary practice location

4499 Medical Dr
Ste 255
San Antonio, TX 78229-3757

Mailing address

4499 Medical Dr
Ste 255
San Antonio, TX 78229-3757
Phone (210) 614-3403

Other identifiers 3

IdentifierTypeStateIssuer
1775445005OtherTXCIGNA
2170366OtherTXAETNA
86K911OtherTXBCBS

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1117584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1376545624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4499 MEDICAL DR",
            "address_2": "STE 255",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782293757",
            "telephone_number": "210-614-3403",
            "fax_number": "210-615-7804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4499 MEDICAL DR",
            "address_2": "STE 255",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782293757",
            "telephone_number": "210-614-3403",
            "fax_number": "210-615-7804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAN ANTONIO PEDIATRIC PULMONARY & CRITICAL CARE ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MORSE",
        "authorized_official_first_name": "MARTHA",
        "authorized_official_middle_name": "RUTH",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "210-614-3403",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD.,F.A.A.P."
    },
    "taxonomies": [
        {
            "code": "2080P0214X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics, Pediatric Pulmonology",
            "state": "TX",
            "license": "G6858",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "1775445005",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "2170366",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "86K911",
            "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 22, 2020; 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.