Central San Antonio Imaging

Primary specialty

Magnetic Resonance Imaging (MRI) Internal Medicine PhysicianTaxonomy code 207RM1200X

Legal business name

CENTRAL SAN ANTONIO IMAGING

Practice address

1303 McCullough Ave
Suite 160
San Antonio, TX 78212-5609

Phone

(210) 208-2147

NPI assigned

Aug 10, 2006

Organization subpart

No

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

Authorized official

Name

Mr. John K. Wisniewski

Title

Cfo

Phone

(210) 208-2147

Specialties & licenses 1

Addresses

Other identifiers 3

Locations

Practitioners 1

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

• Gerald W. Growcock, M.D.

  • Diagnostic Radiology Physician
  • San Antonio, TX
  • NPI 1699751404

  Diagnostic Neuroimaging

  NPD (past)

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

{
    "created_epoch": "1155168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1228953600000",
    "number": "1578574331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7418 JOHN SMITH",
            "address_2": "SUITE 218",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782296020",
            "telephone_number": "210-614-0959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1303 MCCULLOUGH AVE",
            "address_2": "SUITE 160",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782125609",
            "telephone_number": "210-208-2147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL SAN ANTONIO IMAGING",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-10",
        "last_updated": "2008-12-11",
        "status": "A",
        "authorized_official_last_name": "WISNIEWSKI",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "K.",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "210-208-2147",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207RM1200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Magnetic Resonance Imaging (MRI)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "00T32Z",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "DN6641",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "085205501",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Centex Injury and Worker'S Comp San Antonio,PLLC
• Centra Maintenance Corporation
• Central Cardiovascular Institute of San Antonio
• Central Care, Inc.
• Central Health Therapy, PLLC
• Central Texas Birth Center, PLLC
• Central Texas Diabetes & Wellness Institute
• Central Texas Home Health
• Central Texas O&P, LLC
• Central Texas Pain Center South PLLC

• Internal Medicine Physician in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Internal Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 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.

Verify at the official NPI Registry.