Active NPI
Stephen T.W. Noble, P.A.
- Physician Assistant
- San Antonio, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA10115
- Practice address
- 5430 Fredericksburg Rd Ste 508
San Antonio, TX 78229-3561 - Phone
- (210) 541-8281
- Fax
- (210) 541-9123
- NPI assigned
- Sep 18, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 6360 | AZ | |
| Physician Assistant | 363A00000X | PA10115 | TX | Primary |
Addresses
Primary practice location
5430 Fredericksburg Rd Ste 508
San Antonio, TX 78229-3561
Mailing address
5430 Fredericksburg Rd Ste 508
San Antonio, TX 78229-3561
Phone (210) 541-8281
Other practice location 1
5410 N Scottsdale Rd Ste B200
Paradise Valley, AZ 85253-5910
Phone (480) 874-1515
Other practice location 2
18707 Hardy Oak Blvd.
Suite 550
San Antonio, TX 78258-4892
Phone (210) 497-1111
Other practice location 3
20325 N 51st Ave.
Suite 106, Bldg. 1
Glendale, AZ 85308-5665
Phone (480) 874-1515
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
- Opted out of Medicare
- Yes, effective Apr 1, 2018 through Apr 1, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6360 | AZ | MD | Physician Assistant |
| PA10115 | TX | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tutera Medical Inc | Past | Accepting new patients | |
| MJF Rehabilitation PA | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Physical Medicine & Rehabilitation Physician
- Kerrville, TX
- NPI 1093778805
-
- General Practice Physician
- Scottsdale, AZ
- NPI 1356218101
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1442534400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1588723200000",
"number": "1508235649",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5430 FREDERICKSBURG RD STE 508",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782293561",
"telephone_number": "210-541-8281",
"fax_number": "210-541-9123"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5430 FREDERICKSBURG RD STE 508",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782293561",
"telephone_number": "210-541-8281",
"fax_number": "210-541-9123"
}
],
"practiceLocations": [
{
"address_1": "5410 N Scottsdale Rd Ste B200",
"address_purpose": "LOCATION",
"city": "Paradise Valley",
"state": "AZ",
"postal_code": "852535910",
"country_code": "US",
"telephone_number": "480-874-1515",
"fax_number": "480-991-1518",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "18707 Hardy Oak Blvd.",
"address_2": "Suite 550",
"address_purpose": "LOCATION",
"city": "San Antonio",
"state": "TX",
"postal_code": "782584892",
"country_code": "US",
"telephone_number": "210-497-1111",
"fax_number": "210-497-5313",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "20325 N 51st Ave.",
"address_2": "Suite 106, Bldg. 1",
"address_purpose": "LOCATION",
"city": "Glendale",
"state": "AZ",
"postal_code": "853085665",
"country_code": "US",
"telephone_number": "480-874-1515",
"fax_number": "480-991-1518",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NOBLE",
"first_name": "STEPHEN",
"middle_name": "T.W.",
"credential": "P.A.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-09-18",
"last_updated": "2020-05-06",
"certification_date": "2020-05-06",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "AZ",
"license": "6360",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "TX",
"license": "PA10115",
"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 May 6, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.