Organization Active NPI

G. Scott Cuming IV, M.D.

  • Pediatric Adolescent Medicine Physician
  • San Antonio, TX
National Provider Identifier
1467575548
Registry record updated Jun 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Adolescent Medicine PhysicianTaxonomy code 2080A0000X
Legal business name
G. SCOTT CUMING IV, M.D.
Practice address
8647 Wurzbach Rd BLDG O
San Antonio, TX 78240-1245
Phone
(102) 846-1726
Fax
(210) 696-6245
NPI assigned
Apr 6, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2024

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

Authorized official

Name
G. Scott Cuming IV, M.D.
Title
President
Phone
(210) 846-1726

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Adolescent Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2080A0000X Primary

Addresses

Primary practice location

8647 Wurzbach Rd BLDG O
San Antonio, TX 78240-1245

Mailing address

8647 Wurzbach Rd BLDG O
San Antonio, TX 78240-1245
Phone (210) 696-2800

Other identifiers 2

IdentifierTypeStateIssuer
092105801MedicaidTX
092105802MedicaidTX

National Provider Directory

National Provider Directory

Locations

8647 Wurzbach Rd
Bldg O
San Antonio, TX 78240
Phone (210) 696-2800

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1175817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718064000000",
    "number": "1467575548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8647 WURZBACH RD BLDG O",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782401245",
            "telephone_number": "210-696-2800",
            "fax_number": "210-696-6245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8647 WURZBACH RD BLDG O",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782401245",
            "telephone_number": "102-846-1726",
            "fax_number": "210-696-6245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "G. SCOTT CUMING IV, M.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-06",
        "last_updated": "2024-06-11",
        "certification_date": "2024-06-11",
        "status": "A",
        "authorized_official_last_name": "CUMING",
        "authorized_official_first_name": "G.",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "210-846-1726",
        "authorized_official_name_suffix": "IV",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2080A0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "092105801",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "092105802",
            "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 Jun 11, 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.

Verify at the official NPI Registry.