Active NPI
PVD Medical Associates, PLLC
- Emergency Medicine Physician
- San Antonio, TX
National Provider Identifier
1396118147
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- Legal business name
- PVD MEDICAL ASSOCIATES, PLLC
- Practice address
- 18007 Ih 10 W
San Antonio, TX 78257-9536 - Phone
- (210) 530-1040
- Fax
- (210) 530-1187
- NPI assigned
- Nov 2, 2015
- 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
- Dr. Peter Van Delden, MD
- Title
- President
- Phone
- (210) 445-4450
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | Primary |
Addresses
Primary practice location
18007 Ih 10 W
San Antonio, TX 78257-9536
Mailing address
PO Box 690804
San Antonio, TX 78269-0804
Phone (210) 564-9790
Other practice location 1
23511 Hardy Oak Blvd
San Antonio, TX 78258-1928
Phone (210) 361-3266
National Provider Directory
National Provider DirectoryLocations
18007 Ih 10 W
San Antonio, TX 78257
Phone (210) 530-1040
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Emergency Medicine Physician
- San Antonio, TX
- NPI 1265636856
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1446422400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1716940800000",
"number": "1396118147",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 690804",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782690804",
"telephone_number": "210-564-9790",
"fax_number": "210-564-9741"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18007 IH 10 W",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782579536",
"telephone_number": "210-530-1040",
"fax_number": "210-530-1187"
}
],
"practiceLocations": [
{
"address_1": "23511 Hardy Oak Blvd",
"address_purpose": "LOCATION",
"city": "San Antonio",
"state": "TX",
"postal_code": "782581928",
"country_code": "US",
"telephone_number": "210-361-3266",
"fax_number": "210-564-9156",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "PVD MEDICAL ASSOCIATES, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2015-11-02",
"last_updated": "2024-05-29",
"certification_date": "2024-05-29",
"status": "A",
"authorized_official_last_name": "VAN DELDEN",
"authorized_official_first_name": "PETER",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "210-445-4450",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Emergency Medicine",
"state": null,
"license": null,
"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 May 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.