Shavano Family Practice PA

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

J2003 Issued in TX

Legal business name

SHAVANO FAMILY PRACTICE PA

Practice address

12000 Huebner Rd
#104
San Antonio, TX 78230-1213

Phone

(210) 561-2422

Fax

(210) 561-2466

NPI assigned

Sep 19, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Mitchell Frank Finnie, MD

Title

President

Phone

(210) 561-2422

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/8605/brand/1/csg/1/fhir/r4

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

{
    "created_epoch": "1190160000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291939200000",
    "number": "1669668083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12000 HUEBNER RD",
            "address_2": "#104",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782301213",
            "telephone_number": "210-561-2422",
            "fax_number": "210-561-2466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12000 HUEBNER RD",
            "address_2": "#104",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782301213",
            "telephone_number": "210-561-2422",
            "fax_number": "210-561-2466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHAVANO FAMILY PRACTICE PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-19",
        "last_updated": "2010-12-10",
        "status": "A",
        "authorized_official_last_name": "FINNIE",
        "authorized_official_first_name": "MITCHELL",
        "authorized_official_middle_name": "FRANK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "210-561-2422",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "J2003",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer A. Sharron, M.D.
• Thomas Michael Shary II, M.D.
• Paul J. Shaughnessy, M.D.
• Shaun R Gifford DC
• Shavano Eye Center PLLC
• Shavano Medical Management PLLC
• Shavano Park Family Dentistry, PA
• Shavano Precision Laboratory, LLC
• Shave Dental PLLC
• Shave Dental PLLC

• Family Medicine Physician in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.