Organization Active NPI

Regen Med Group 1, PLLC

  • Family Medicine Physician
  • San Antonio, TX
National Provider Identifier
1538447495
Registry record updated Jul 26, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
H8061 Issued in TX
Legal business name
REGEN MED GROUP 1, PLLC
Practice address
15650 Classen Road
San Antonio, TX 78247-5116
Phone
(210) 236-8076
Fax
(210) 236-8078
NPI assigned
Jul 26, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2011

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

Authorized official

Name
Susan Garton, D.O.
Title
Physician
Phone
(210) 236-8076

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X H8061 TX Primary

Addresses

Primary practice location

15650 Classen Road
San Antonio, TX 78247-5116

Mailing address

15650 Classen Road
San Antono, TX 78247-5116
Phone (210) 236-8076

National Provider Directory

National Provider Directory

Locations

15650 Classen Rd
San Antonio, TX 78247
Phone (210) 236-8076

NPI Registry JSON

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

{
    "created_epoch": "1311638400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1311638400000",
    "number": "1538447495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15650 CLASSEN ROAD",
            "city": "SAN ANTONO",
            "state": "TX",
            "postal_code": "782475116",
            "telephone_number": "210-236-8076",
            "fax_number": "210-236-8078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15650 CLASSEN ROAD",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782475116",
            "telephone_number": "210-236-8076",
            "fax_number": "210-236-8078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REGEN MED GROUP 1, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-26",
        "last_updated": "2011-07-26",
        "status": "A",
        "authorized_official_last_name": "GARTON",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "210-236-8076",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "H8061",
            "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 26, 2011; 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.