Westover Primary Care

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

M8093 Issued in TX

Legal business name

WESTOVER PRIMARY CARE

Practice address

9026 Culebra Rd Ste 101
San Antonio, TX 78251-2882

Phone

(210) 802-3777

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

Mr. Anatoly Koretsky

Title

Manager

Phone

(210) 802-3777

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": "1609113600000",
    "number": "1902230964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8910 WHITNEY CIR",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782545706",
            "telephone_number": "210-802-3777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9026 CULEBRA RD STE 101",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782512882",
            "telephone_number": "210-802-3777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTOVER PRIMARY CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-27",
        "last_updated": "2020-12-28",
        "certification_date": "2020-12-28",
        "status": "A",
        "authorized_official_last_name": "KORETSKY",
        "authorized_official_first_name": "ANATOLY",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "210-802-3777",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "M8093",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Westover Hills Pharmacy Inc
• Westover Hills Primary Care
• Westover Hills SCC LLC
• Westover Hills Surgical Associates
• Westover Hills Women'S Health PA
• Westover Primary Care Clinic PLLC
• Karen Marcela Westover
• Westside Pediatric Dental
• Amanda N Wetegrove, LPC
• Vanessa Wetherill, RN

• Family Medicine Physician in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2020; 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.