NPIMap

Organization Active NPI

Pediatric Medicine, PA

  • Pediatrics Physician
  • San Antonio, TX
National Provider Identifier
1487651204
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
PEDIATRIC MEDICINE, PA
Practice address
7922 Ewing Halsell Dr
Ste 440
San Antonio, TX 78229-3726
Phone
(210) 614-2500
Fax
(210) 614-2755
NPI assigned
Jul 7, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Dr. Rebecca A Rocha-Davis, MDNPI 1568468288
Title
President of Pediatric Medicine, PA
Phone
(210) 614-2500

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X TX Primary

Addresses

Primary practice location

7922 Ewing Halsell Dr
Ste 440
San Antonio, TX 78229-3726

Mailing address

7922 Ewing Halsell Dr
Ste 440
San Antonio, TX 78229-3726
Phone (210) 614-2500

National Provider Directory

National Provider Directory
Tax ID family
Pediatric Medicine2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

7922 Ewing Halsell Dr
Ste 440
San Antonio, TX 78229
Phone (210) 614-2500

Practitioners & affiliated clinicians

Practitioners 5

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": "1120694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1487651204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7922 EWING HALSELL DR",
            "address_2": "STE 440",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782293726",
            "telephone_number": "210-614-2500",
            "fax_number": "210-614-2755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7922 EWING HALSELL DR",
            "address_2": "STE 440",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782293726",
            "telephone_number": "210-614-2500",
            "fax_number": "210-614-2755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC MEDICINE, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-07",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "ROCHA-DAVIS",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT OF PEDIATRIC MEDICINE, PA",
        "authorized_official_telephone_number": "210-614-2500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "TX",
            "license": null,
            "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 21, 2022; 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.