Medical Surgical Specialist of Kerrville, PA

Primary specialty

SpecialistTaxonomy code 174400000X

License

H9895 Issued in TX

Legal business name

MEDICAL SURGICAL SPECIALIST OF KERRVILLE, PA

Practice address

1001 Water St Ste D-200
Kerrville, TX 78028-3566

Phone

(830) 896-5005

Fax

(830) 896-4747

NPI assigned

Nov 21, 2013

Last updated

Mar 6, 2020By 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

Jennifer Hughes

Title

Officer Manager

Phone

(830) 896-5005

Specialties & licenses 2

Addresses

Other identifiers 2

Locations

Practitioners 2

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.

• John Caleb Key, MD

  • General Practice Physician
  • Kerrville, TX
  • NPI 1174848907
  NPD
• Thomas Edwin Ducker, MD

  • Gastroenterology Physician
  • Kerrville, TX
  • NPI 1295753887
  NPD (past)

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

{
    "created_epoch": "1384992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1583452800000",
    "number": "1730519158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 WATER ST STE D-200",
            "city": "KERRVILLE",
            "state": "TX",
            "postal_code": "780283566",
            "telephone_number": "830-896-5005",
            "fax_number": "830-896-4747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 WATER ST STE D-200",
            "city": "KERRVILLE",
            "state": "TX",
            "postal_code": "780283566",
            "telephone_number": "830-896-5005",
            "fax_number": "830-896-4747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL SURGICAL SPECIALIST OF KERRVILLE, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-21",
        "last_updated": "2020-03-06",
        "certification_date": "2020-03-06",
        "status": "A",
        "authorized_official_last_name": "HUGHES",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "OFFICER MANAGER",
        "authorized_official_telephone_number": "830-896-5005"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "TX",
            "license": "G2979",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "TX",
            "license": "H9895",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "136809405",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "097289502",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Srikanth Medarametla, M.D.
• Medaura Billing LLC
• Medical Arts Imaging, Inc
• Medical Equipment Shop Inc
• Medical Fitness Clinic of Kerrville
• Medicine Stop Inc (The Medicine Stop)
• Niessa Collette Meier, RN, CNM
• Linette B Melcher, MD
• Kathryn E Merchant
• J Christopher Meriwether, MD

• Specialist in Kerrville, TX
• Providers in Kerrville, TX by specialty
• Specialist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2020; 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.