Active NPI
Third Coast Emergency Physicians Southwest PA
- Emergency Medicine Physician
- San Antonio, TX
National Provider Identifier
1497793475
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- Legal business name
- THIRD COAST EMERGENCY PHYSICIANS SOUTHWEST PA
- Practice address
- 4103 North Look 1604 W
San Antonio, TX 78249-1395 - Phone
- (330) 493-4443
- NPI assigned
- Jun 3, 2006
- Last updated
- Oct 10, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Sam Roberts, MD
- Title
- President
- Phone
- (512) 452-8533
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | Primary |
Addresses
Primary practice location
4103 North Look 1604 W
San Antonio, TX 78249-1395
Mailing address
4535 Dressler Rd NW
Canton, OH 44718-2545
Phone (330) 493-4443
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
6300 La Calma Dr
Ste 101
Austin, TX 78752
16088 San Pedro Ave
San Antonio, TX 78232
Phone (210) 402-4092
16977 Interstate 35 N
Schertz, TX 78154
Phone (210) 572-8400
Practitioners & affiliated clinicians
Practitioners 417
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Family Nurse Practitioner
- New Braunfels, TX
- NPI 1578253266
-
- Medical Physician Assistant
- Austin, TX
- NPI 1588971659
-
- Emergency Medicine Physician
- San Antonio, TX
- NPI 1003264375
-
- Emergency Medicine Physician
- Bryan, TX
- NPI 1518918119
-
- Emergency Medicine Physician
- Round Rock, TX
- NPI 1366653669
-
- Emergency Medicine Physician
- Houston, TX
- NPI 1619387834
-
- Emergency Medicine Physician
- San Antonio, TX
- NPI 1326667999
-
- Emergency Medicine Physician
- San Antonio, TX
- NPI 1720435571
-
- Physician Assistant
- Pearland, TX
- NPI 1336702158
-
- Emergency Medicine Physician
- Austin, TX
- NPI 1114117363
-
- Emergency Medicine Physician
- San Antonio, TX
- NPI 1740714732
-
- Emergency Medicine Physician
- Bryan, TX
- NPI 1811923006
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149292800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1570665600000",
"number": "1497793475",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4535 DRESSLER RD NW",
"city": "CANTON",
"state": "OH",
"postal_code": "447182545",
"telephone_number": "330-493-4443",
"fax_number": "330-493-8677"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4103 NORTH LOOK 1604 W",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782491395",
"telephone_number": "330-493-4443"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THIRD COAST EMERGENCY PHYSICIANS SOUTHWEST PA",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-03",
"last_updated": "2019-10-10",
"status": "A",
"authorized_official_last_name": "ROBERTS",
"authorized_official_first_name": "SAM",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "512-452-8533",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Emergency Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Antonio, TX
- Thilo E. Burzlaff, M.D. P.a.
- Thimios D. Partalas DC PA
- Thimios D. Partalas, D.C., P.a.
- Giselle Thirakul
- Tarone Thirawatananond, MD
- Third Coast Surgical Services, LLP
- Third Day Counseling Services, PLLC
- Third Space Counseling and Consultation, PLLC
- Thirteen Lac Inc. (Misson Home Health)
- Thanvi Madhusri Thodati, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.