Individual provider Active NPI

Kathryn L Safford, MD

  • Surgery Physician
  • San Antonio, TX
National Provider Identifier
1760527212
Registry record updated Jul 11, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
G4393 Issued in TX
Practice address
4499 Medical Dr
Suite 252
San Antonio, TX 78229-3735
Phone
(210) 692-9090
Fax
(210) 692-9100
NPI assigned
Feb 21, 2007
Last updated
Jul 11, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X G4393 TX Primary

Addresses

Primary practice location

4499 Medical Dr
Suite 252
San Antonio, TX 78229-3735

Mailing address

4383 Medical Dr
Suite 4049
San Antonio, TX 78229-3307
Phone (210) 593-2575

Other identifiers 1

IdentifierTypeStateIssuer
089519503MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

NPI Registry JSON

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

{
    "created_epoch": "1172016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1373500800000",
    "number": "1760527212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4383 MEDICAL DR",
            "address_2": "SUITE 4049",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782293307",
            "telephone_number": "210-593-2575",
            "fax_number": "210-593-5992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4499 MEDICAL DR",
            "address_2": "SUITE 252",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782293735",
            "telephone_number": "210-692-9090",
            "fax_number": "210-692-9100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAFFORD",
        "first_name": "KATHRYN",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-21",
        "last_updated": "2013-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "TX",
            "license": "G4393",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "089519503",
            "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 Jul 11, 2013; 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.