Organization Active NPI

Charles T Gay MD PA

  • Neurology with Special Qualifications in Child Neurology Physician
  • San Antonio, TX
National Provider Identifier
1699972877
Registry record updated May 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology with Special Qualifications in Child Neurology PhysicianTaxonomy code 2084N0402X
License
G8126 Issued in TX
Legal business name
CHARLES T GAY MD PA
Practice address
4499 Medical Drive
Ste 396
San Antonio, TX 78229-3713
Phone
(210) 614-3737
Fax
(210) 614-3147
NPI assigned
Jun 29, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 5, 2008

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

Authorized official

Name
Charles T Gay, MD PA
Title
President
Phone
(210) 614-3737

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology with Special Qualifications in Child Neurology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084N0402X G8126 TX Primary

Addresses

Primary practice location

4499 Medical Drive
Ste 396
San Antonio, TX 78229-3713

Mailing address

4499 Medical Dr
Ste 396
San Antonio, TX 78229-3713
Phone (210) 614-3737

Other identifiers 1

IdentifierTypeStateIssuer
151178401MedicaidTX

National Provider Directory

National Provider Directory

Locations

4499 Medical Dr
Ste 396
San Antonio, TX 78229
Phone (210) 614-3737

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1183075200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209945600000",
    "number": "1699972877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4499 MEDICAL DR",
            "address_2": "STE 396",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782293713",
            "telephone_number": "210-614-3737",
            "fax_number": "210-614-3147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4499 MEDICAL DRIVE",
            "address_2": "STE 396",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782293713",
            "telephone_number": "210-614-3737",
            "fax_number": "210-614-3147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLES T GAY MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-29",
        "last_updated": "2008-05-05",
        "status": "A",
        "authorized_official_last_name": "GAY",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "210-614-3737",
        "authorized_official_credential": "MD PA"
    },
    "taxonomies": [
        {
            "code": "2084N0402X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology",
            "state": "TX",
            "license": "G8126",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "151178401",
            "state": "TX"
        }
    ],
    "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 May 5, 2008; 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.