Gustavo J Medellin MD PA

Primary specialty

Hospitalist PhysicianTaxonomy code 208M00000X

License

K0129 Issued in TX

Legal business name

GUSTAVO J MEDELLIN MD PA

Practice address

7700 Floyd Curl Dr
San Antonio, TX 78229-3902

Phone

(210) 575-4000

NPI assigned

Mar 22, 2007

Organization subpart

No

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

Authorized official

Name

Gustavo Javier Medellin, MD

Title

President

Phone

(210) 558-6288

Specialties & licenses 1

Addresses

Other names 1

• Medical Center Hospitalists Doing business as

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

{
    "created_epoch": "1174521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1604620800000",
    "number": "1467578971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1158",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782941158",
            "telephone_number": "210-558-6288",
            "fax_number": "210-558-6289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7700 FLOYD CURL DR",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782293902",
            "telephone_number": "210-575-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUSTAVO J MEDELLIN MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-22",
        "last_updated": "2020-11-06",
        "certification_date": "2020-11-06",
        "status": "A",
        "authorized_official_last_name": "MEDELLIN",
        "authorized_official_first_name": "GUSTAVO",
        "authorized_official_middle_name": "JAVIER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "210-558-6288",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Hospitalist",
            "state": "TX",
            "license": "K0129",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Medical Center Hospitalists",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Medical Center Hospitalists",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lisa Blumenthal Gurwitz, MD
• Gus Daniels, M.D. P.a.
• Francisca Cecilia Gushiken, MD
• Celeste Gusme, M.A., LPC
• Carrie Gustafson, RDN, LD
• Qian Gustilo
• Larina V. Gutenberg, DO
• Claudia Liliana Gutierrez Cornejo, MD
• Andrea Gutierrez de Velasco, FNP
• Estefania Gutierrez Garcia, DENTAL STUDENT

• Hospitalist Physician in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Hospitalist Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2020; 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.