NPIMap

Organization Active NPI

Panther Inpatient Care PLLC

Doing business as Pinc

  • Hospitalist Physician
  • San Antonio, TX
National Provider Identifier
1699078568
Registry record updated Dec 21, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
Legal business name
PANTHER INPATIENT CARE PLLC
Doing business as
Pinc
Practice address
21710 Eden Rose HL
San Antonio, TX 78256-1670
Phone
(210) 262-2990
NPI assigned
Dec 14, 2010
Last updated
Dec 21, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2010

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

Authorized official

Name
Dr. Randy Lee Panther, M.D.NPI 1285694455
Title
President
Phone
(210) 262-2990

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X
Hospitalist PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208M00000X Primary

Addresses

Primary practice location

21710 Eden Rose HL
San Antonio, TX 78256-1670

Mailing address

21710 Eden Rose HL
San Antonio, TX 78256-1670
Phone (210) 262-2990

Other identifiers 1

IdentifierTypeStateIssuer
M8899OtherTXMEDICAL LICENSE

Other names 1

  • PINC Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110413000131 TX Part B Supplier - Clinic/Group Practice 6901080183 Receives reassigned benefits from 20 practitioners
Practice locations: San Antonio, TX

National Provider Directory

National Provider Directory

Locations

111 Dallas St
San Antonio, TX 78205
Phone (210) 297-7000

Practitioners & affiliated clinicians

Practitioners 20

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1292284800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1292889600000",
    "number": "1699078568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21710 EDEN ROSE HL",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782561670",
            "telephone_number": "210-262-2990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21710 EDEN ROSE HL",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782561670",
            "telephone_number": "210-262-2990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PANTHER INPATIENT CARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-14",
        "last_updated": "2010-12-21",
        "status": "A",
        "authorized_official_last_name": "PANTHER",
        "authorized_official_first_name": "RANDY",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "210-262-2990",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Hospitalist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "M8899",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PINC",
            "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 Dec 21, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.