NPIMap

Organization Active NPI

Imed Healthcare Associates, PLLC

Doing business as IMED Internal Medicine

  • 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
Doing business as
IMED Internal Medicine
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
Last updated
Oct 28, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2010

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

Authorized official

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

Specialties & licenses 1

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

Addresses

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 names 1

  • IMED Internal Medicine Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 43

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 43

NPI Registry JSON

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

{
    "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": [],
    "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.