Organization Active NPI

Confidential Anesthesia, P.a.

  • Anesthesiology Physician
  • San Antonio, TX
National Provider Identifier
1861597999
Registry record updated Jul 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
K3856 Issued in TX
Legal business name
CONFIDENTIAL ANESTHESIA, P.A.
Practice address
7731 Broadway St # H41
San Antonio, TX 78209
Phone
(210) 621-0640
Fax
(210) 621-2386
NPI assigned
Sep 13, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2019

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

Authorized official

Name
Dr. Charles E. Smith, MD
Title
Owner
Phone
(210) 227-5168

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207L00000X K3856 TX Primary

Addresses

Primary practice location

7731 Broadway St # H41
San Antonio, TX 78209

Mailing address

7731 Broadway St # H41
San Antonio, TX 78209-3259
Phone (210) 621-0640

Other practice location 1

525 Evans Ave
San Antonio, TX 78209
Phone (210) 621-0640

Other identifiers 2

IdentifierTypeStateIssuer
0048KVOtherTXBCBS TX GROUP
163147502MedicaidTX

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1158105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1564012800000",
    "number": "1861597999",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7731 BROADWAY ST # H41",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782093259",
            "telephone_number": "210-621-0640",
            "fax_number": "210-621-2386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7731 BROADWAY ST # H41",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "78209",
            "telephone_number": "210-621-0640",
            "fax_number": "210-621-2386"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "525 Evans Ave",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "78209",
            "country_code": "US",
            "telephone_number": "210-621-0640",
            "fax_number": "210-621-2386",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CONFIDENTIAL ANESTHESIA, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-13",
        "last_updated": "2019-07-25",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "210-227-5168",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": "TX",
            "license": "K3856",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS TX GROUP",
            "identifier": "0048KV",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "163147502",
            "state": "TX"
        }
    ],
    "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 25, 2019; 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.