Active NPI
Urology Assoc of San Antonio PA
- Urology Physician
- San Antonio, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- Legal business name
- UROLOGY ASSOC OF SAN ANTONIO PA
- Practice address
- 1303 McCullough Ave
Suite 561
San Antonio, TX 78212-5668 - Phone
- (210) 227-9376
- Fax
- (210) 227-0916
- NPI assigned
- Sep 12, 2006
- Last updated
- Jul 6, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Jerry Elliot Kruse, MD
- Title
- President
- Phone
- (210) 227-9376
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | Primary |
Addresses
Primary practice location
1303 McCullough Ave
Suite 561
San Antonio, TX 78212-5668
Mailing address
1303 McCullough Ave
Suite 561
San Antonio, TX 78212-5668
Phone (210) 227-9376
National Provider Directory
National Provider DirectoryLocations
1303 McCullough Ave
Ste 561
San Antonio, TX 78212
Phone (210) 227-9376
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Urology Physician
- San Antonio, TX
- NPI 1205931417
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158019200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1278374400000",
"number": "1801990486",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1303 MCCULLOUGH AVE",
"address_2": "SUITE 561",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782125668",
"telephone_number": "210-227-9376",
"fax_number": "210-227-0916"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1303 MCCULLOUGH AVE",
"address_2": "SUITE 561",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782125668",
"telephone_number": "210-227-9376",
"fax_number": "210-227-0916"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "UROLOGY ASSOC OF SAN ANTONIO PA",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-12",
"last_updated": "2010-07-06",
"status": "A",
"authorized_official_last_name": "KRUSE",
"authorized_official_first_name": "JERRY",
"authorized_official_middle_name": "ELLIOT",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "210-227-9376",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Urology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"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 6, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.