Organization Active NPI

San Antonio Digestive Disease Consultants PA

  • Gastroenterology Physician
  • San Antonio, TX
National Provider Identifier
1437284460
Registry record updated Mar 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
Legal business name
SAN ANTONIO DIGESTIVE DISEASE CONSULTANTS PA
Practice address
1804 N.E. Loop 410
# 101
San Antonio, TX 78217-5211
Phone
(210) 828-8400
Fax
(210) 804-4454
NPI assigned
Feb 22, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2013

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

Authorized official

Name
Dr. Steven E Heame, M.D.
Title
Cfo
Phone
(210) 828-8400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RG0100X Primary

Addresses

Primary practice location

1804 N.E. Loop 410
# 101
San Antonio, TX 78217-5211

Mailing address

1804 N.E. Loop 410
# 101
San Antonio, TX 78217-5211
Phone (210) 828-8400

Other identifiers 1

IdentifierTypeStateIssuer
084814501MedicaidTX

National Provider Directory

National Provider Directory

Locations

19016 Stone Oak Pkwy
#2
San Antonio, TX 78258
Phone (210) 223-9272

NPI Registry JSON

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

{
    "created_epoch": "1172102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1363910400000",
    "number": "1437284460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1804 N.E. LOOP 410",
            "address_2": "# 101",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782175211",
            "telephone_number": "210-828-8400",
            "fax_number": "210-804-4454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1804 N.E. LOOP 410",
            "address_2": "# 101",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782175211",
            "telephone_number": "210-828-8400",
            "fax_number": "210-804-4454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAN ANTONIO DIGESTIVE DISEASE CONSULTANTS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-22",
        "last_updated": "2013-03-22",
        "status": "A",
        "authorized_official_last_name": "HEAME",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "210-828-8400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "084814501",
            "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 Mar 22, 2013; 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.