Individual provider Active NPI

Sharon Ann Secola

  • Anatomic Pathology & Clinical Pathology Physician
  • San Antonio, TX
National Provider Identifier
1730522806
Registry record updated Mar 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
S2675 Issued in TX
Practice address
1122 Austin Highway
San Antonio, TX 78209-4844
Phone
(210) 342-6488
Fax
(210) 342-6725
NPI assigned
Apr 9, 2013
Last updated
Mar 29, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X S2675 TX Primary

Addresses

Primary practice location

1122 Austin Highway
San Antonio, TX 78209-4844

Mailing address

1122 Austin Hwy
San Antonio, TX 78209-4844
Phone (210) 342-6488

Other identifiers 1

IdentifierTypeStateIssuer
S2675OtherTXTEXAS MEDICAID BOARD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200818001894 TX Practitioner - Pathology 6800121393 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
University of Connecticut School of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

3600 Gaston Ave
Dallas, TX 75246-1800
Phone (972) 966-7830

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
S2675TXMDAnatomic Pathology & Clinical Pathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Austin Pathology Associates CurrentSince Aug 1, 2020 Accepting new patients
Cpat CurrentSince Jul 7, 2025 Accepting new patients
North Dallas Pathology Services, P.a. Anatomic Pathology & Clinical Pathology CurrentSince Jul 15, 2022 Accepting new patients
Austin Pathology Associates Anatomic Pathology & Clinical Pathology CurrentSince Aug 1, 2020 Accepting new patients
North Dallas Pathology Services PA Anatomic Pathology & Clinical Pathology Current Accepting new patients
Pathology Associates of Tyler PA Anatomic Pathology & Clinical Pathology CurrentSince Jul 7, 2025 Accepting new patients
Austin Pathology Associates Anatomic Pathology & Clinical Pathology Past Accepting new patients

Locations

4900 Mueller Blvd
Austin, TX 78723
Phone (512) 324-0165

901 W Ben White Blvd
Austin, TX 78704
Phone (512) 342-2382

8200 Walnut Hill Ln
Dallas, TX 75231
Phone (214) 345-6148

3000 N I 35
Denton, TX 76201
Phone (940) 898-7047

2000 Scenic Dr
Georgetown, TX 78626
Phone (512) 863-2117

1122 Austin Hwy
San Antonio, TX 78209
Phone (210) 342-6488

1000 S Beckham Ave
Tyler, TX 75701
Phone (903) 526-1068

1726 S Beckham Ave
Tyler, TX 75701
Phone (903) 593-0481

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1365465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616976000000",
    "number": "1730522806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1122 AUSTIN HWY",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782094844",
            "telephone_number": "210-342-6488",
            "fax_number": "210-342-6725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1122 AUSTIN HIGHWAY",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782094844",
            "telephone_number": "210-342-6488",
            "fax_number": "210-342-6725"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SECOLA",
        "first_name": "SHARON",
        "middle_name": "ANN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-04-09",
        "last_updated": "2021-03-29",
        "certification_date": "2021-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "TX",
            "license": "S2675",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS MEDICAID BOARD",
            "identifier": "S2675",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.