Active NPI
Stone Oak Surgicenter, LLC
Doing business as Stone Oak Surgery Center
- Ambulatory Surgical Clinic/Center
- San Antonio, TX
National Provider Identifier
1700546629
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- 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, 2026
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 Center
- Medicare certification status
- Active
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
-
dba Methodist Hospital
- Psychiatric Hospital Unit
- San Antonio, TX
- NPI 1245284223
Member Of
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
- Stone Oak Rheumatology PA
- Stone Oak South Texas Center for Pediatric Care
- Stone Oak South Texas Center for Pediatric Care
- Stone Oak Spine P.a.
- Stone Oak Surgery Center, LLC
- Stone Oak Therapy Services & Learning Institute
- Stone Oak Urgent Care & Family P.a. (Stone Oak Urgent Care & Family Practice)
- Stone Oak Urgent Care & Family P.a. (Stone Oak Urgent Care & Family Practice)
- Stone Oak Womens Center
- Stone Oak Womens Center PA
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.