Active NPI
Carol Linda Pasko, M.D., MSCI
- Family Medicine Physician
- San Antonio, TX
National Provider Identifier
1396894077
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 82199
- Practice address
- 7930 Roanoke Run
Unit 1101
San Antonio, TX 78240-5204 - Phone
- (210) 614-4053
- NPI assigned
- Jan 10, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 82199 | MA | Primary |
| Family Medicine Physician | 207Q00000X | 35910-020 | WI |
Addresses
Primary practice location
7930 Roanoke Run
Unit 1101
San Antonio, TX 78240-5204
Mailing address
7930 Roanoke Run
Unit 1101
San Antonio, TX 78240-5204
Phone (210) 614-4053
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)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 82199 | MA | MD | Family Medicine Physician |
| 35910-020 | WI | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168387200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1253750400000",
"number": "1396894077",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7930 ROANOKE RUN",
"address_2": "UNIT 1101",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782405204",
"telephone_number": "210-614-4053"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7930 ROANOKE RUN",
"address_2": "UNIT 1101",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782405204",
"telephone_number": "210-614-4053"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PASKO",
"first_name": "CAROL",
"middle_name": "LINDA",
"credential": "M.D., MSCI",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-10",
"last_updated": "2009-09-24",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MA",
"license": "82199",
"primary": true
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "WI",
"license": "35910-020",
"primary": false
}
],
"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 Sep 24, 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.