Individual provider Active NPI

Lillian Beth Engelsgjerd, M.D.

  • Gynecology Physician
  • San Antonio, TX
National Provider Identifier
1427037191
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
License
F1528 Issued in TX
Practice address
4499 Medical Dr
Suite 275
San Antonio, TX 78229-3735
Phone
(210) 616-0676
Fax
(210) 616-0059
NPI assigned
Jan 11, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecology Physician 207VG0400X F1528 TX Primary

Addresses

Primary practice location

4499 Medical Dr
Suite 275
San Antonio, TX 78229-3735

Mailing address

4499 Medical Dr
Suite 275
San Antonio, TX 78229-3735
Phone (210) 616-0676

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

State licenses

LicenseStateTypeSpecialty
F1528TXMDGynecology Physician

NPI Registry JSON

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

{
    "created_epoch": "1136937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1427037191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4499 MEDICAL DR",
            "address_2": "SUITE 275",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782293735",
            "telephone_number": "210-616-0676",
            "fax_number": "210-616-0059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4499 MEDICAL DR",
            "address_2": "SUITE 275",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782293735",
            "telephone_number": "210-616-0676",
            "fax_number": "210-616-0059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENGELSGJERD",
        "first_name": "LILLIAN",
        "middle_name": "BETH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "TX",
            "license": "F1528",
            "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 Jul 8, 2007; 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.