San Marcos Medical Imaging PLLC

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

H7991 Issued in TX

Legal business name

SAN MARCOS MEDICAL IMAGING PLLC

Practice address

1301 Wonder World Dr
San Marcos, TX 78666-7533

Phone

(512) 396-8565

Fax

(512) 396-8567

NPI assigned

Mar 23, 2007

Last updated

Jun 16, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Gregory C. De la Iglesia, MD

Title

President

Phone

(512) 396-8565

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

• King and Court Imaging, PLLC

  • Diagnostic Radiology Physician
  • San Marcos, TX
  • NPI 1831505353

  Member Of

  NPD member

Locations

Practitioners 7

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.

• Douglas S Smith, M.D.

  • Diagnostic Radiology Physician
  • San Marcos, TX
  • NPI 1033257753
  Medicare reassignment Care Compare group NPD
• Stephen Swearingen, MD

  • Diagnostic Radiology Physician
  • San Marcos, TX
  • NPI 1306853627
  Medicare reassignment Care Compare group NPD
• Cameron Herschel Gates Jr., D.O.

  • Diagnostic Radiology Physician
  • Chattanooga, TN
  • NPI 1285862235

  TX

  Medicare reassignment Care Compare group NPD
• Gregory Coleman Iglesia, M.D.

  • Diagnostic Radiology Physician
  • San Marcos, TX
  • NPI 1992704803
  Medicare reassignment NPD
• Murray H. Shapiro, M.D.

  • Diagnostic Radiology Physician
  • San Marcos, TX
  • NPI 1578790267
  Medicare reassignment NPD
• Winslett Magee Cox, M.D.

  • Diagnostic Radiology Physician
  • Charlottesville, VA
  • NPI 1376987362

  Single Specialty, TX

  Medicare reassignment NPD
• William H. Healy, M.D.

  • Diagnostic Ultrasound Physician
  • San Marcos, TX
  • NPI 1356572515
  NPD (past)

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

{
    "created_epoch": "1174608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1497571200000",
    "number": "1861519175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1005",
            "city": "SAN MARCOS",
            "state": "TX",
            "postal_code": "786671005",
            "telephone_number": "512-396-8565",
            "fax_number": "512-396-8567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 WONDER WORLD DR",
            "city": "SAN MARCOS",
            "state": "TX",
            "postal_code": "786667533",
            "telephone_number": "512-396-8565",
            "fax_number": "512-396-8567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAN MARCOS MEDICAL IMAGING PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-23",
        "last_updated": "2017-06-16",
        "status": "A",
        "authorized_official_last_name": "DE LA IGLESIA",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "512-396-8565",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TX",
            "license": "H7991",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "83R493",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103672502",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "00TS99",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• San Marcos Diagnostics PA
• San Marcos DSG PLLC
• San Marcos Ear Nose & Throat Association
• San Marcos Family Medicine
• San Marcos Gentle Dental, PLLC
• San Marcos MRI, LP (Advanced Imaging San Marcos)
• San Marcos Nursing & Rehab Center, Inc (AdventHealth Care Center San Marcos)
• San Marcos Obstetrics and Gynecology, PLLC
• San Marcos Orthopedics, PLLC
• San Marcos Pediatric Dentistry and Orthodontics

• Diagnostic Radiology Physician in San Marcos, TX
• Providers in San Marcos, TX by specialty
• Diagnostic Radiology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.