Gerardo E. Carcamo, MD PA

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

K4014 Issued in TX

Legal business name

GERARDO E. CARCAMO, MD PA

Practice address

414 Navarro St
Suite 810
San Antonio, TX 78205-2577

Phone

(210) 220-1726

Fax

(210) 224-3058

NPI assigned

Aug 28, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Gerardo E Carcaom, M.D.

Title

M.D., President

Phone

(210) 220-1726

Specialties & licenses 1

Addresses

Other identifiers 6

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

{
    "created_epoch": "1346112000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1346112000000",
    "number": "1790033512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "414 NAVARRO ST",
            "address_2": "SUITE 810",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782052577",
            "telephone_number": "210-220-1726",
            "fax_number": "210-224-3058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "414 NAVARRO ST",
            "address_2": "SUITE 810",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782052577",
            "telephone_number": "210-220-1726",
            "fax_number": "210-224-3058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GERARDO E. CARCAMO, MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-28",
        "last_updated": "2012-08-28",
        "status": "A",
        "authorized_official_last_name": "CARCAOM",
        "authorized_official_first_name": "GERARDO",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "M.D., PRESIDENT",
        "authorized_official_telephone_number": "210-220-1726",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "TX",
            "license": "K4014",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "0073CF",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "029449801",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAIL ROAD",
            "identifier": "020045233",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA",
            "identifier": "268085",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5220564",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE LINK",
            "identifier": "4160893",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cecilia Bacerdo Geralde, D.O.
• Renato A Geralde, DO
• Claire Gerall, M.D.
• Gerard M Honore MD PLLC
• Margit B Gerardi, PHD,WHCNP, PMHNP-BC
• Gerardo Zavala MD PA
• Gregg Gordon Gerasimon, MD
• Bradley L. Gerber, PH.D
• Joan H Gerber, OT
• Andrew Gerdin

• Surgery Physician in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Surgery Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2012; 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.