Organization Active NPI

Regen Medical Imaging Inc

  • Diagnostic Radiology Physician
  • San Antonio, TX
National Provider Identifier
1861760126
Registry record updated Dec 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
REGEN MEDICAL IMAGING INC
Practice address
15650 Classen Rd
San Antonio, TX 78247-2184
Phone
(210) 236-8076
Fax
(210) 236-8078
NPI assigned
Dec 1, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2011

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

Authorized official

Name
Anna Ballard
Title
President
Phone
(210) 236-8076

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085R0202X Primary

Addresses

Primary practice location

15650 Classen Rd
San Antonio, TX 78247-2184

Mailing address

15650 Classen Rd
San Antonio, TX 78247-2184
Phone (210) 236-8076

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1322697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1322697600000",
    "number": "1861760126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15650 CLASSEN RD",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782472184",
            "telephone_number": "210-236-8076",
            "fax_number": "210-236-8078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15650 CLASSEN RD",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782472184",
            "telephone_number": "210-236-8076",
            "fax_number": "210-236-8078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REGEN MEDICAL IMAGING INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-01",
        "last_updated": "2011-12-01",
        "status": "A",
        "authorized_official_last_name": "BALLARD",
        "authorized_official_first_name": "ANNA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "210-236-8076"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "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 Dec 1, 2011; 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.