Organization Active NPI

Sammy Vick MD PA

  • Urology Physician
  • San Antonio, TX
National Provider Identifier
1639360506
Registry record updated Aug 6, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
H8485 Issued in TX
Legal business name
SAMMY VICK MD PA
Practice address
8038 Wurzbach Rd
Suite 430
San Antonio, TX 78229-3817
Phone
(210) 616-0410
Fax
(210) 615-1295
NPI assigned
Aug 6, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2007

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

Authorized official

Name
Dr. Sammy Vick, M.D.
Title
President
Phone
(210) 616-0410

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208800000X H8485 TX Primary

Addresses

Primary practice location

8038 Wurzbach Rd
Suite 430
San Antonio, TX 78229-3817

Mailing address

8038 Wurzbach Rd
Suite 430
San Antonio, TX 78229-3817
Phone (210) 616-0410

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1186358400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1186358400000",
    "number": "1639360506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8038 WURZBACH RD",
            "address_2": "SUITE 430",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782293817",
            "telephone_number": "210-616-0410",
            "fax_number": "210-615-1295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8038 WURZBACH RD",
            "address_2": "SUITE 430",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782293817",
            "telephone_number": "210-616-0410",
            "fax_number": "210-615-1295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAMMY VICK MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-06",
        "last_updated": "2007-08-06",
        "status": "A",
        "authorized_official_last_name": "VICK",
        "authorized_official_first_name": "SAMMY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "210-616-0410",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": "TX",
            "license": "H8485",
            "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 Aug 6, 2007; 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.