Organization Active NPI

Richard Palmer, M.D., P.a.

  • Family Medicine Physician
  • San Antonio, TX
National Provider Identifier
1619157138
Registry record updated Nov 13, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
G3668 Issued in TX
Legal business name
RICHARD PALMER, M.D., P.A.
Practice address
2108 NW Military Hwy
San Antonio, TX 78213-1882
Phone
(210) 342-7300
Fax
(210) 342-7325
NPI assigned
Nov 13, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2007

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

Authorized official

Name
Helen Vallejo
Title
Office Manager
Phone
(210) 342-7300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X G3668 TX Primary

Addresses

Primary practice location

2108 NW Military Hwy
San Antonio, TX 78213-1882

Mailing address

2108 NW Military Hwy
San Antonio, TX 78213-1882
Phone (210) 342-7300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20051102000302 TX Part B Supplier - Clinic/Group Practice 4587681150 Receives reassigned benefits from 1 practitioner
Practice locations: San Antonio, TX

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 13

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

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1194912000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194912000000",
    "number": "1619157138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2108 NW MILITARY HWY",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782131882",
            "telephone_number": "210-342-7300",
            "fax_number": "210-342-7325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2108 NW MILITARY HWY",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782131882",
            "telephone_number": "210-342-7300",
            "fax_number": "210-342-7325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARD PALMER, M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-13",
        "last_updated": "2007-11-13",
        "status": "A",
        "authorized_official_last_name": "VALLEJO",
        "authorized_official_first_name": "HELEN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "210-342-7300"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "G3668",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Nov 13, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.