Organization Active NPI

Sandra Dean Shriner MD PLLC

  • Physical Medicine & Rehabilitation Physician
  • San Antonio, TX
National Provider Identifier
1720568793
Registry record updated Oct 22, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
Legal business name
SANDRA DEAN SHRINER MD PLLC
Practice address
3603 Paesanos Pkwy Ste 201
San Antonio, TX 78231-1267
Phone
(210) 254-0891
NPI assigned
Aug 18, 2018
Last updated
Oct 22, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2018

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

Authorized official

Name
John Barker
Title
Administrator
Phone
(210) 254-0891

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 208100000X Primary
Clinic/Center 261Q00000X

Addresses

Primary practice location

3603 Paesanos Pkwy Ste 201
San Antonio, TX 78231-1267

Mailing address

3603 Paesanos Pkwy Ste 201
San Antonio, TX 78231-1267

Other identifiers 1

IdentifierTypeStateIssuer
J4075OtherTXTEXAS LICENSE

National Provider Directory

National Provider Directory

Locations

3603 Paesanos Pkwy
Ste 201
San Antonio, TX 78231
Phone (210) 286-7288

14439 NW Military Hwy
#4997
Shavano Park, TX 78231

Practitioners & affiliated clinicians

Practitioners 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1534550400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1540166400000",
    "number": "1720568793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3603 PAESANOS PKWY STE 201",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782311267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3603 PAESANOS PKWY STE 201",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782311267",
            "telephone_number": "210-254-0891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANDRA DEAN SHRINER MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-18",
        "last_updated": "2018-10-22",
        "status": "A",
        "authorized_official_last_name": "BARKER",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "210-254-0891"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS LICENSE",
            "identifier": "J4075",
            "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 Oct 22, 2018; 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.