Organization Active NPI

Spire Medical Management, Inc

  • Family Medicine Physician
  • San Antonio, TX
National Provider Identifier
1558638262
Registry record updated Nov 23, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
H7749 Issued in TX
Legal business name
SPIRE MEDICAL MANAGEMENT, INC
Practice address
323 NW 24TH St
San Antonio, TX 78207-3209
Phone
(210) 438-8055
Fax
(210) 979-7843
NPI assigned
Nov 23, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 23, 2011

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

Authorized official

Name
Dr. Clay Gruesbeck, MD
Title
Medical Director
Phone
(210) 438-8055

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X H7749 TX Primary

Addresses

Primary practice location

323 NW 24TH St
San Antonio, TX 78207-3209

Mailing address

323 NW 24TH St
San Antonio, TX 78207-3209
Phone (210) 438-8055

National Provider Directory

National Provider Directory

Locations

5425 Walzem Rd
Windcrest, TX 78218
Phone (210) 654-9700

NPI Registry JSON

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

{
    "created_epoch": "1322006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1322006400000",
    "number": "1558638262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "323 NW 24TH ST",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782073209",
            "telephone_number": "210-438-8055",
            "fax_number": "210-979-7843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "323 NW 24TH ST",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782073209",
            "telephone_number": "210-438-8055",
            "fax_number": "210-979-7843"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPIRE MEDICAL MANAGEMENT, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-23",
        "last_updated": "2011-11-23",
        "status": "A",
        "authorized_official_last_name": "GRUESBECK",
        "authorized_official_first_name": "CLAY",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "210-438-8055",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "H7749",
            "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 Nov 23, 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.