Active NPI
Lee Kirchner MD PA
- Pediatric Pulmonology Physician
- San Antonio, TX
National Provider Identifier
1568629327
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Pulmonology Physician
- License
- J9135
- Legal business name
- LEE KIRCHNER MD PA
- Practice address
- 3619 Paesanos Parkway
Suite 212
San Antonio, TX 78231-1255 - Phone
- (210) 614-9830
- Fax
- (210) 614-9831
- NPI assigned
- May 20, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Lee Kirchner, MD
- Title
- Ceo
- Phone
- (210) 614-9830
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Pulmonology Physician | 2080P0214X | J9135 | TX | Primary |
Addresses
Primary practice location
3619 Paesanos Parkway
Suite 212
San Antonio, TX 78231-1255
Mailing address
3619 Paesanos Parkway
Suite 212
San Antonio, TX 78231-1255
Phone (210) 614-9830
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 160911701 | Medicaid | TX |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1211241600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1214956800000",
"number": "1568629327",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3619 PAESANOS PARKWAY",
"address_2": "SUITE 212",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782311255",
"telephone_number": "210-614-9830",
"fax_number": "210-614-9831"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3619 PAESANOS PARKWAY",
"address_2": "SUITE 212",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782311255",
"telephone_number": "210-614-9830",
"fax_number": "210-614-9831"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LEE KIRCHNER MD PA",
"organizational_subpart": "NO",
"enumeration_date": "2008-05-20",
"last_updated": "2008-07-02",
"status": "A",
"authorized_official_last_name": "KIRCHNER",
"authorized_official_first_name": "LEE",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "210-614-9830",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "2080P0214X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pediatrics, Pediatric Pulmonology",
"state": "TX",
"license": "J9135",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "160911701",
"state": "TX"
}
],
"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 2, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.