Stop Sa, LLC

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

E8143 Issued in TX

Legal business name

STOP SA, LLC

Practice address

3780 N.W. Loop 410
San Antonio, TX 78229

Phone

(210) 736-4405

Fax

(210) 736-4407

NPI assigned

Jul 30, 2010

Last updated

Jul 30, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Bertram W. Roberts, MD,MPH, DRPH, MHA,

Title

Program Sponsor

Phone

(210) 736-4405

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1280448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1280448000000",
    "number": "1629382817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3780 N.W. LOOP 410",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "78229",
            "telephone_number": "210-736-4405",
            "fax_number": "210-736-4407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3780 N.W. LOOP 410",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "78229",
            "telephone_number": "210-736-4405",
            "fax_number": "210-736-4407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STOP SA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-30",
        "last_updated": "2010-07-30",
        "status": "A",
        "authorized_official_last_name": "ROBERTS",
        "authorized_official_first_name": "BERTRAM",
        "authorized_official_middle_name": "W.",
        "authorized_official_title_or_position": "PROGRAM SPONSOR",
        "authorized_official_telephone_number": "210-736-4405",
        "authorized_official_credential": "MD,MPH, DRPH, MHA,"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "TX",
            "license": "E8143",
            "primary": true
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "TX",
            "license": "K5178",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "131802409",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stonebridge Behavioral Health, P.a.
• Stonebridge Continuum of Care LLC
• Stonebridge Psychiatry Services, P.a.
• Stoneterra Infusion Center
• Stop Programs
• Stop the Cycle Education
• Michelle Lynn Storandt, M.D.
• Alyssa Cassandra Storb
• Silviana Storgion
• Caitlin Feller Stork, FNP

• Nephrology Physician in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Nephrology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 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.