Organization Active NPI

Stone Oak Surgicenter, LLC

Doing business as Stone Oak Surgery Center

  • Ambulatory Surgical Clinic/Center
  • San Antonio, TX
National Provider Identifier
1700546629
Registry record updated Sep 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
STONE OAK SURGICENTER, LLC
Doing business as
Stone Oak Surgery Center
Practice address
123 N Loop 1604 E Ste 107
San Antonio, TX 78232-1390
Phone
(210) 267-1374
NPI assigned
Dec 20, 2021
Last updated
Sep 10, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2026

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

Authorized official

Name
David McKnight
Title
VP/Cfo
Phone
(972) 789-2816

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X NU Primary

Addresses

Primary practice location

123 N Loop 1604 E Ste 107
San Antonio, TX 78232-1390

Mailing address

123 N Loop 1604 E Ste 107
San Antonio, TX 78232-1390
Phone (210) 267-1374

Other names 1

  • Stone Oak Surgery Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220624000861 TX Part B Supplier - Ambulatory Surgical Center 3476932237 Practice locations: San Antonio, TX

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
Stone Oak Surgicenter LLC Dba Stone Oak Surgery CenterCCN 45C0001531
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1639958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788998400000",
    "number": "1700546629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 N LOOP 1604 E STE 107",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782321390",
            "telephone_number": "210-267-1374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 N LOOP 1604 E STE 107",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782321390",
            "telephone_number": "210-267-1374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STONE OAK SURGICENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-20",
        "last_updated": "2026-09-10",
        "certification_date": "2026-09-10",
        "status": "A",
        "authorized_official_last_name": "MCKNIGHT",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "VP/CFO",
        "authorized_official_telephone_number": "972-789-2816"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Stone Oak Surgery Center",
            "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 Sep 10, 2026; 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.