Organization Active NPI

Ieme

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • San Antonio, TX
National Provider Identifier
1851721930
Registry record updated Nov 26, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X
License
N6275 Issued in TX
Legal business name
IEME
Practice address
20079 Stone Oak Pkwy
Ste 1200
San Antonio, TX 78258-6942
Phone
(210) 370-9712
Fax
(210) 370-9717
NPI assigned
Nov 26, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2013

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

Authorized official

Name
Ivan Edwards, DO
Title
President
Phone
(210) 370-9712

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2081P2900X N6275 TX Primary

Addresses

Primary practice location

20079 Stone Oak Pkwy
Ste 1200
San Antonio, TX 78258-6942

Mailing address

18866 Stone Oak Pkwy
Suite 103-117
San Antonio, TX 78258-4180

National Provider Directory

National Provider Directory

Locations

18866 Stone Oak Pkwy
#103117
San Antonio, TX 78258

20079 Stone Oak Pkwy
Ste 1200
San Antonio, TX 78258
Phone (210) 370-9710

18866 Stone Oak Pkwy
Ste 103117
San Antonio, TX 78258

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1385424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1385424000000",
    "number": "1851721930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18866 STONE OAK PKWY",
            "address_2": "SUITE 103-117",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782584180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20079 STONE OAK PKWY",
            "address_2": "STE 1200",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782586942",
            "telephone_number": "210-370-9712",
            "fax_number": "210-370-9717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IEME",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-26",
        "last_updated": "2013-11-26",
        "status": "A",
        "authorized_official_last_name": "EDWARDS",
        "authorized_official_first_name": "IVAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "210-370-9712",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "TX",
            "license": "N6275",
            "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 Nov 26, 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.