Organization Active NPI

Michael I Zuflacht,MD,PA

Doing business as Doing Business As

  • Specialist
  • San Antonio, TX
National Provider Identifier
1639472749
Registry record updated Apr 12, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
D7379 Issued in TX
Legal business name
MICHAEL I ZUFLACHT,MD,PA
Doing business as
Doing Business As
Practice address
2829 Babcock Rd
Suite 429
San Antonio, TX 78229-6028
Phone
(210) 615-8888
Fax
(210) 615-8892
NPI assigned
Dec 10, 2010
Last updated
Apr 12, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2011

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

Authorized official

Name
Mrs. Tina V Gomez
Title
Credentialing
Phone
(210) 614-3335

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X D7379 TX Primary

Addresses

Primary practice location

2829 Babcock Rd
Suite 429
San Antonio, TX 78229-6028

Mailing address

2829 Babcock Rd
Suite 429
San Antonio, TX 78229-6028
Phone (210) 615-8888

Other identifiers 2

IdentifierTypeStateIssuer
0076WCOtherTXBCBSTX
102105703MedicaidTX

Other names 1

  • Doing Business As Doing business as

National Provider Directory

National Provider Directory

Locations

2829 Babcock Rd
Ste 429
San Antonio, TX 78229
Phone (210) 614-8707

NPI Registry JSON

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

{
    "created_epoch": "1291939200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1302566400000",
    "number": "1639472749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2829 BABCOCK RD",
            "address_2": "SUITE 429",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782296028",
            "telephone_number": "210-615-8888",
            "fax_number": "210-615-8892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2829 BABCOCK RD",
            "address_2": "SUITE 429",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782296028",
            "telephone_number": "210-615-8888",
            "fax_number": "210-615-8892"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL I ZUFLACHT,MD,PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-10",
        "last_updated": "2011-04-12",
        "status": "A",
        "authorized_official_last_name": "GOMEZ",
        "authorized_official_first_name": "TINA",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "CREDENTIALING",
        "authorized_official_telephone_number": "210-614-3335",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "TX",
            "license": "D7379",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSTX",
            "identifier": "0076WC",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102105703",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Doing Business As",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Apr 12, 2011; 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.