Spcsa PLLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

SPCSA PLLC

Doing business as

Spine and Pain Center of San Antonio

Practice address

12602 Toepperwein Rd
218
Live Oak, TX 78233-3269

Phone

(210) 615-1901

Fax

(210) 615-1905

NPI assigned

Nov 15, 2011

Reactivated

May 11, 2023

Last updated

Jul 12, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Sergio Jose Alvarado, MDNPI 1255309084

Title

Authorized Official

Phone

(210) 576-7246

Specialties & licenses 3

Addresses

Other names 1

• Spine and Pain Center of San Antonio Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Other NPIs with the same Medicare PAC ID 3

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Spcsa PLLC

  dba Spine and Pain Center of San Antonio

  • Durable Medical Equipment & Medical Supplies
  • San Antonio, TX
  • NPI 1578830543

  6507862638

  Same PAC ID
• Spcsa PLLC

  dba Spine & Pain Center of San Antonio

  • Pain Medicine (Anesthesiology) Physician
  • San Antonio, TX
  • NPI 1720008527

  6507862638

  Same PAC ID
• Spcsa PLLC

  dba Shavano Oaks Pharmacy

  • Community/Retail Pharmacy
  • Live Oak, TX
  • NPI 1962710087

  6507862638

  Same PAC ID

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Spine Pain Ctr of San Anto4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

• Spcsa PLLC

  dba Shavano Oaks Pharmacy @ Westover

  • Community/Retail Pharmacy
  • San Antonio, TX
  • NPI 1235550815
  NPD tax ID
• Spcsa PLLC

  dba Spine and Pain Center of San Antonio

  • Durable Medical Equipment & Medical Supplies
  • San Antonio, TX
  • NPI 1578830543
  NPD tax ID
• Spcsa PLLC

  dba Shavano Oaks Pharmacy

  • Community/Retail Pharmacy
  • Live Oak, TX
  • NPI 1962710087
  NPD tax ID

Locations

Practitioners 2

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.

• Sergio Jose Alvarado, M.D.

  • Interventional Pain Medicine Physician
  • San Antonio, TX
  • NPI 1255309084
  Authorized official Same address or phone
• Dennis Edward Karasek, M.D.

  • Interventional Pain Medicine Physician
  • San Antonio, TX
  • NPI 1679572994

  Anesthesiology

  NPD (past)

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

{
    "created_epoch": "1321315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1720742400000",
    "number": "1508143777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12602 TOEPPERWEIN RD",
            "address_2": "218",
            "city": "LIVE OAK",
            "state": "TX",
            "postal_code": "782333269",
            "telephone_number": "210-615-1901",
            "fax_number": "210-615-1905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12602 TOEPPERWEIN RD",
            "address_2": "218",
            "city": "LIVE OAK",
            "state": "TX",
            "postal_code": "782333269",
            "telephone_number": "210-615-1901",
            "fax_number": "210-615-1905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPCSA PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-15",
        "last_updated": "2024-07-12",
        "certification_date": "2024-07-12",
        "deactivation_date": "2023-03-14",
        "reactivation_date": "2023-05-11",
        "status": "A",
        "authorized_official_last_name": "ALVARADO",
        "authorized_official_first_name": "SERGIO",
        "authorized_official_middle_name": "JOSE",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "210-576-7246",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3336C0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Clinic Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Spine and Pain Center of San Antonio",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Malesa Renea Smyth
• Rishika Someshwar
• Ismael Tres Sosa, MD
• Southern Texas Heart and Vascular Clinic, PLLC
• SP Dental Group PLLC
• Spcsa PLLC (Shavano Oaks Pharmacy)
• Darren Christopher Spearman, M.D.
• Roxanne Spence
• Sports Medicine Associates of San Antonio, PA
• Stephen E. Earle M.D. P.a.

• Durable Medical Equipment & Medical Supplies in Live Oak, TX
• Providers in Live Oak, TX by specialty
• Durable Medical Equipment & Medical Supplies in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.