Jennifer Alexandria Suchecki, P.A

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA11790 Issued in TX

Practice address

3320 Oakwell CT
San Antonio, TX 78218

Phone

(210) 829-5180

Fax

(210) 314-8315

NPI assigned

Nov 17, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Jennifer Alexandria Liles Former name

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Texas Dermatology and Laser Specialists PLLC

  • Dermatology Physician
  • San Antonio, TX
  • NPI 1053653949
  Medicare reassignment

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

{
    "created_epoch": "1447718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719792000000",
    "number": "1659745487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3320 OAKWELL CT",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782183128",
            "telephone_number": "210-829-5180",
            "fax_number": "210-314-8315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3320 OAKWELL CT",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "78218",
            "telephone_number": "210-829-5180",
            "fax_number": "210-314-8315"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1763 Medical Way",
            "address_purpose": "LOCATION",
            "city": "New Braunfels",
            "state": "TX",
            "postal_code": "781325414",
            "country_code": "US",
            "telephone_number": "210-829-5180",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3349 S Highway 181 Ste 6",
            "address_purpose": "LOCATION",
            "city": "Kenedy",
            "state": "TX",
            "postal_code": "781195247",
            "country_code": "US",
            "telephone_number": "210-829-5180",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "21727 Ih 10 W Fl 2",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782572106",
            "country_code": "US",
            "telephone_number": "210-829-5180",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8019 S New Braunfels Ste 120",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782351069",
            "country_code": "US",
            "telephone_number": "210-829-5180",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SUCHECKI",
        "first_name": "JENNIFER",
        "middle_name": "ALEXANDRIA",
        "name_prefix": "Mrs.",
        "credential": "P.A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-11-17",
        "last_updated": "2024-07-01",
        "certification_date": "2024-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA11790",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "385128901",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS LICENSE",
            "identifier": "PA11790",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "LILES",
            "middle_name": "ALEXANDRIA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Chloe Anabelle Subia
• Anna Subonj, DO
• Santosh Subramanyam, M.D.
• Succor Urgent Psychiatric Care
• Kathy Suchadoll, LPC
• John A. Suchina, DDS
• Duncan A. Sudarshan, MD
• Susan B Suddeth
• John Suder, MD
• Sue & Bob Corp

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.