Active NPI
St. Mary'S University
- Sports Medicine (Orthopaedic Surgery) Physician
- San Antonio, TX
National Provider Identifier
1861894248
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Medicine (Orthopaedic Surgery) Physician
- Legal business name
- ST. MARY'S UNIVERSITY
- Practice address
- 1 Camino Santa Maria St
San Antonio, TX 78228-5433 - Phone
- (214) 043-6352
- NPI assigned
- Sep 17, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Rebeckah Day
- Title
- VP of Administration and Finance
- Phone
- (210) 436-3727
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Medicine (Orthopaedic Surgery) Physician | 207XX0005X | Primary |
Addresses
Primary practice location
1 Camino Santa Maria St
San Antonio, TX 78228-5433
Mailing address
5050 Spring Valley Rd
Dallas, TX 75244-3995
Phone (800) 555-9073
Other names 1
- St. Mary's University Sports Medicine and Rehabilitation
National Provider Directory
National Provider Directory- Tax ID family
- St Mary'S University
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Student Health Clinic/Center
- San Antonio, TX
- NPI 1427296946
Locations
1 Camino Santa Maria St
San Antonio, TX 78228
Phone (210) 431-5043
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1410912000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1410912000000",
"number": "1861894248",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5050 SPRING VALLEY RD",
"city": "DALLAS",
"state": "TX",
"postal_code": "752443995",
"telephone_number": "800-555-9073",
"fax_number": "972-367-3452"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 CAMINO SANTA MARIA ST",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782285433",
"telephone_number": "214-043-6352"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ST. MARY'S UNIVERSITY",
"organizational_subpart": "NO",
"enumeration_date": "2014-09-17",
"last_updated": "2014-09-17",
"status": "A",
"authorized_official_last_name": "DAY",
"authorized_official_first_name": "REBECKAH",
"authorized_official_title_or_position": "VP OF ADMINISTRATION AND FINANCE",
"authorized_official_telephone_number": "210-436-3727"
},
"taxonomies": [
{
"code": "207XX0005X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Orthopaedic Surgery, Sports Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "St. Mary's University Sports Medicine and Rehabilitation",
"code": "3",
"type": "Doing Business As"
}
]
}
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 17, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.