Organization Active NPI

Medtronix Healthcare Inc

  • Nursing Facility/Intermediate Care Facility
  • San Antonio, TX
National Provider Identifier
1851600688
Registry record updated Sep 28, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X
License
L0869 Issued in TX
Legal business name
MEDTRONIX HEALTHCARE INC
Practice address
3425 Wurzbach Rd
San Antonio, TX 78238-4069
Phone
(210) 870-0923
NPI assigned
Sep 28, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2010

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

Authorized official

Name
Dr. Sam Michaels, MD
Title
Owner
Phone
(210) 870-0923

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X L0869 TX
Nursing Facility/Intermediate Care Facility 313M00000X L0869 TX Primary

Addresses

Primary practice location

3425 Wurzbach Rd
San Antonio, TX 78238-4069

Mailing address

4114 Medical Dr
Suite 9301
San Antonio, TX 78229-5607
Phone (210) 870-0923

National Provider Directory

National Provider Directory

Locations

3425 Wurzbach Rd
San Antonio, TX 78238
Phone (210) 870-0923

NPI Registry JSON

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

{
    "created_epoch": "1285632000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285632000000",
    "number": "1851600688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4114 MEDICAL DR",
            "address_2": "SUITE 9301",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782295607",
            "telephone_number": "210-870-0923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3425 WURZBACH RD",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782384069",
            "telephone_number": "210-870-0923"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDTRONIX HEALTHCARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-28",
        "last_updated": "2010-09-28",
        "status": "A",
        "authorized_official_last_name": "MICHAELS",
        "authorized_official_first_name": "SAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "210-870-0923",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "TX",
            "license": "L0869",
            "primary": false
        },
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "TX",
            "license": "L0869",
            "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 Sep 28, 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.

Verify at the official NPI Registry.