San Antonio Heart Imaging, PLLC

Primary specialty

Nuclear Cardiology PhysicianTaxonomy code 207UN0901X

License

L06569 Issued in TX

Legal business name

SAN ANTONIO HEART IMAGING, PLLC

Practice address

19276 Stone Oak Pkwy
Suite 103 a
San Antonio, TX 78258-3378

Phone

(210) 403-9170

Fax

(210) 403-9188

NPI assigned

Aug 27, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Gerald M Koppes, MD

Title

President

Phone

(210) 403-9170

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1377561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1377561600000",
    "number": "1881028801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19276 STONE OAK PKWY",
            "address_2": "SUITE 103 A",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782583378",
            "telephone_number": "210-403-9170",
            "fax_number": "210-403-9188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19276 STONE OAK PKWY",
            "address_2": "SUITE 103 A",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782583378",
            "telephone_number": "210-403-9170",
            "fax_number": "210-403-9188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAN ANTONIO HEART IMAGING, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-27",
        "last_updated": "2013-08-27",
        "status": "A",
        "authorized_official_last_name": "KOPPES",
        "authorized_official_first_name": "GERALD",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "210-403-9170",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207UN0901X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nuclear Medicine, Nuclear Cardiology",
            "state": "TX",
            "license": "L06569",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• San Antonio Head & Neck Surgical Associates
• San Antonio Head & Neck Surgical Associates, P.a.
• San Antonio Health Service Corp
• San Antonio Health Service Corp
• San Antonio Healthcare Center LLC
• San Antonio Heart PLLC
• San Antonio Home Care Assistance
• San Antonio Home Care LLC
• San Antonio Horizon Hills LLC
• San Antonio I Enterprises, LLC

• Nuclear Cardiology Physician in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Nuclear Cardiology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2013; 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.