NPIMap

Organization Active NPI

Imed Healthcare Associates, PLLC

  • Internal Medicine Physician
  • San Antonio, TX
National Provider Identifier
1568619005
Registry record updated Oct 28, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
IMED HEALTHCARE ASSOCIATES, PLLC
Practice address
255 E Sonterra Blvd Ste 100
San Antonio, TX 78258-4076
Phone
(210) 404-0000
Fax
(210) 404-2813
NPI assigned
Aug 27, 2008
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Ms. Roberta S. Cloud
Title
Vice President
Phone
(210) 575-8505

Practitioners 43

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 43

National Provider Directory

National Provider Directory

Locations

1139 E Sonterra Blvd
Ste 405
San Antonio, TX 78258
Phone (210) 404-0000

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary

Addresses

NPPES NPI Registry

Primary practice location

255 E Sonterra Blvd Ste 100
San Antonio, TX 78258-4076

Mailing address

255 E Sonterra Blvd Ste 100
San Antonio, TX 78258-4076
Phone (210) 404-0000

Other identifiers 3

NPPES NPI Registry
IdentifierTypeStateIssuer
DO3578OtherMEDICARE RR
H00019RT01OtherTXBCBS
197507001MedicaidTX

Other names 1

NPPES NPI Registry
  • IMED Internal Medicine Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 28, 2010.

{
    "created_epoch": "1219795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1288224000000",
    "number": "1568619005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "255 E SONTERRA BLVD STE 100",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782584076",
            "telephone_number": "210-404-0000",
            "fax_number": "210-404-2813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 E SONTERRA BLVD STE 100",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782584076",
            "telephone_number": "210-404-0000",
            "fax_number": "210-404-2813"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMED HEALTHCARE ASSOCIATES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-27",
        "last_updated": "2010-10-28",
        "status": "A",
        "authorized_official_last_name": "CLOUD",
        "authorized_official_first_name": "ROBERTA",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "210-575-8505",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RR",
            "identifier": "DO3578",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "H00019RT01",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "197507001",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "IMED Internal Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Oct 28, 2010; 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.