Individual provider Active NPI

Sharon Noel Slubar Davis, PA-C

  • Surgical Physician Assistant
  • San Antonio, TX
National Provider Identifier
1508862764
Registry record updated Nov 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
PA03989 Issued in TX
Practice address
4330 Medical Dr
Suite 325
San Antonio, TX 78229-3342
Phone
(210) 615-7700
Fax
(210) 615-1782
NPI assigned
Jun 22, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X PA03989 TX Primary

Addresses

Primary practice location

4330 Medical Dr
Suite 325
San Antonio, TX 78229-3342

Mailing address

PO Box 67000
Suite 325
Detroit, MI 48267-2728
Phone (210) 615-7700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040806001079 TX Practitioner - Physician Assistant 6305817206 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
San Antonio Assisting Services, LLCGroup PAC ID 6002952314, 4 clinicians

Practice addresses (Care Compare)

3463 Magic Dr
Suite T21
San Antonio, TX 78229-2973

3463 Magic Dr
Suite T21
San Antonio, TX 78229-3621
Phone (210) 614-8101

Hospital & facility affiliations

  • Baptist Medical Center Hospital, San Antonio, TX, CCN 450058
  • Methodist Hospital Stone Oak Hospital, San Antonio, TX, CCN 670055
  • Methodist Hospital Hospital, San Antonio, TX, CCN 450388

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Organizations & group practices 1

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1119398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480291200000",
    "number": "1508862764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 67000",
            "address_2": "SUITE 325",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482672728",
            "telephone_number": "210-615-7700",
            "fax_number": "210-615-1782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4330 MEDICAL DR",
            "address_2": "SUITE 325",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782293342",
            "telephone_number": "210-615-7700",
            "fax_number": "210-615-1782"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SLUBAR DAVIS",
        "first_name": "SHARON",
        "middle_name": "NOEL",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-22",
        "last_updated": "2016-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "TX",
            "license": "PA03989",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.