Guadalupe Family Health, PA

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

M8283 Issued in TX

Legal business name

GUADALUPE FAMILY HEALTH, PA

Practice address

1414 E Walnut St
Seguin, TX 78155-5175

Phone

(830) 379-7901

NPI assigned

May 4, 2009

Last updated

Feb 24, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. David M Rider, M.D.NPI 1326202185

Title

President

Phone

(830) 379-7901

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• David M. Rider, MD Other name

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

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

CLIA laboratory certificates

Locations

Practitioners 6

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.

• David M Rider, M.D.

  • Family Medicine Physician
  • Seguin, TX
  • NPI 1326202185
  Medicare reassignment Care Compare group NPD Authorized official
• James Anthony Rider, D.O.

  • Family Medicine Physician
  • Seguin, TX
  • NPI 1154640993
  Medicare reassignment Care Compare group NPD
• Megan Dlynn Wenzel, NP-C

  • Family Nurse Practitioner
  • Seguin, TX
  • NPI 1073173746
  Medicare reassignment Care Compare group NPD
• Cassandra Fossler, PA

  • Medical Physician Assistant
  • Seguin, TX
  • NPI 1154706372
  Medicare reassignment Care Compare group
• Alexis Santos, PA-C

  • Medical Physician Assistant
  • Seguin, TX
  • NPI 1598354599
  Medicare reassignment Care Compare group
• Madelyn Alyssa Woods, PA-C

  • Medical Physician Assistant
  • New Braunfels, TX
  • NPI 1366078909
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1241395200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1424736000000",
    "number": "1700010964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1206",
            "city": "SEGUIN",
            "state": "TX",
            "postal_code": "781561206",
            "telephone_number": "830-379-7901",
            "fax_number": "830-401-0437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1414 E WALNUT ST",
            "city": "SEGUIN",
            "state": "TX",
            "postal_code": "781555175",
            "telephone_number": "830-379-7901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUADALUPE FAMILY HEALTH, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-04",
        "last_updated": "2015-02-24",
        "status": "A",
        "authorized_official_last_name": "RIDER",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "830-379-7901",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "M8283",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2089765-01",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD ID #",
            "identifier": "0076SK",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID FOR TEXAS HEALTH STEPS",
            "identifier": "2089765-02",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "David M. Rider, MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Guadalupe County Hospital Board (Guadalupe Regional Medical Center)
• Guadalupe County Hospital Board (Guadalupe Regional Medical Laurel)
• Guadalupe County Hospital Board (Guadalupe Regional Medical Center Hospice)
• Guadalupe County Hospital Board (GRMC Hospitalist Group)
• Guadalupe Ear, Nose and Throat, PA
• Guadalupe Hospital County Board (Guadalupe Regional Medical Center Hospital Ambulatory Surgical Center)
• Guadalupe Regional Infuison Center
• Guadalupe Regional Medical Group
• Guadalupe Valley Christian Counseling Center, Inc.
• Guadalupe Valley Emergency Phyisicans Organization (Emergency Phyisicans Organization)

• Family Medicine Physician in Seguin, TX
• Providers in Seguin, 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 Feb 24, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.