San Antonio Head & Neck Surgical Associates

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

SAN ANTONIO HEAD & NECK SURGICAL ASSOCIATES

Practice address

926 Booklyn Ave
San Antonio, TX 78215-1637

Phone

(210) 616-0283

Fax

(210) 616-0071

NPI assigned

Jun 30, 2015

Organization subpart

No

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

Authorized official

Name

Tracy Gibson

Title

Credentialer

Phone

(210) 616-0283

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Ear, Nose & Throat Clinics of San Antonio Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Gilbert Ruiz, M.D.

  • Otolaryngology Physician
  • San Antonio, TX
  • NPI 1104825041
  NPD

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

{
    "created_epoch": "1435622400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1435622400000",
    "number": "1790168417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "926 BOOKLYN AVE",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782151637",
            "telephone_number": "210-616-0283",
            "fax_number": "210-616-0071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "926 BOOKLYN AVE",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782151637",
            "telephone_number": "210-616-0283",
            "fax_number": "210-616-0071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAN ANTONIO HEAD & NECK SURGICAL ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-30",
        "last_updated": "2015-06-30",
        "status": "A",
        "authorized_official_last_name": "GIBSON",
        "authorized_official_first_name": "TRACY",
        "authorized_official_title_or_position": "CREDENTIALER",
        "authorized_official_telephone_number": "210-616-0283"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "093833403",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ear, Nose & Throat Clinics of San Antonio",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• San Antonio Foot and Ankle ASC, LLC
• San Antonio Foot and Ankle Center, LLC
• San Antonio Functional Health PLLC
• San Antonio Gastroenterology Associates, PA
• San Antonio General Surgery
• San Antonio Head & Neck Surgical Associates, P.a.
• San Antonio Health Service Corp
• San Antonio Health Service Corp
• San Antonio Healthcare Center LLC
• San Antonio Heart Imaging, PLLC

• Specialist in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Specialist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2015; 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.