SP United, LLC

Primary specialty

Surgical AssistantTaxonomy code 246ZC0007X

Legal business name

SP UNITED, LLC

Practice address

3463 Magic Dr Ste T21
San Antonio, TX 78229-3621

Phone

(210) 614-8101

NPI assigned

Feb 13, 2018

Organization subpart

No

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

Authorized official

Name

Gina Baccari

Title

Manager

Phone

(210) 614-8101

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1518480000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1518480000000",
    "number": "1861992117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3463 MAGIC DR STE T21",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782293621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3463 MAGIC DR STE T21",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782293621",
            "telephone_number": "210-614-8101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SP UNITED, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-13",
        "last_updated": "2018-02-13",
        "status": "A",
        "authorized_official_last_name": "BACCARI",
        "authorized_official_first_name": "GINA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "210-614-8101"
    },
    "taxonomies": [
        {
            "code": "246ZC0007X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist/Technologist, Other, Surgical Assistant",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant, Surgical",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Iveth Soza, D.O.
• Jeanie Sozansky Lujan, M.D.
• SP Administration
• SP Administration
• SP Medical Supply,LLC
• Spa Education Enterprise Resources
• Spa Lounge LLC
• Emery Spaar, RPH
• Lance Spacek, M.D.
• Gregory Keith Spackman, DDS MBA

• Surgical Assistant in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Surgical Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2018; 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.