Ec PA

Primary specialty

Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X

License

F9289 Issued in TX

Legal business name

EC PA

Doing business as

Sculpt

Practice address

540 Madison Oak Ste 140
San Antonio, TX 78258-3919

Phone

(210) 495-0086

Fax

(210) 495-0801

NPI assigned

Dec 2, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Eddie L Cerday, M.D.

Title

M.D./ President

Phone

(210) 495-0086

Specialties & licenses 2

Addresses

Other identifiers 4

Other names 1

• Sculpt Doing business as

Locations

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

{
    "created_epoch": "1291248000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291248000000",
    "number": "1609178292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "540 MADISON OAK STE 140",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782583919",
            "telephone_number": "210-495-0086",
            "fax_number": "210-495-0801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "540 MADISON OAK STE 140",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782583919",
            "telephone_number": "210-495-0086",
            "fax_number": "210-495-0801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EC PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-02",
        "last_updated": "2010-12-02",
        "status": "A",
        "authorized_official_last_name": "CERDAY",
        "authorized_official_first_name": "EDDIE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "M.D./ PRESIDENT",
        "authorized_official_telephone_number": "210-495-0086",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "5019",
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "TX",
            "license": "F9289",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "F9289",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1477525533",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "603040",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "5019",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sculpt",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Joseph Eby
• Steven P Eby, CRNA
• Ec Bandera, LLC
• Ec Bitters Road LLC
• Ec Opco Windcrest, LLC (Sodalis Windcrest)
• Ecc Home
• Cody Eccles, DO
• Echair LLC (VitalDoctors Medical Equipment)
• Jaime Echartea Gonzalez, MD
• Edna Echauri Garcia

• Pain Medicine (Anesthesiology) Physician in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Pain Medicine (Anesthesiology) Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 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.