Individual provider Active NPI

Charles Augustine Syms III, M.D.

  • Otology & Neurotology Physician
  • San Antonio, TX
National Provider Identifier
1902844202
Registry record updated Nov 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otology & Neurotology PhysicianTaxonomy code 207YX0901X
License
K6356 Issued in TX
Practice address
21 Spurs LN
Suite 100
San Antonio, TX 78240-1634
Phone
(210) 614-6070
NPI assigned
Jun 2, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X K6356 TX
Otology & Neurotology Physician 207YX0901X K6356 TX Primary

Addresses

Primary practice location

21 Spurs LN
Suite 100
San Antonio, TX 78240-1634

Mailing address

21 Spurs LN
Suite 100
San Antonio, TX 78240-1669

Other identifiers 2

IdentifierTypeStateIssuer
102597502MedicaidTX
102597503MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
K6356TXMDOtology & Neurotology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ear Medical Group PA Otology & Neurotology CurrentSince Sep 1, 1998 Accepting new patients

Locations

21 Spurs Ln
Ste 100
San Antonio, TX 78240
Phone (210) 614-0187

21 Spurs Ln
Ste 245
San Antonio, TX 78240
Phone (210) 487-7463

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CHGACD

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1149206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574726400000",
    "number": "1902844202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 SPURS LN",
            "address_2": "SUITE 100",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782401669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 SPURS LN",
            "address_2": "SUITE 100",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782401634",
            "telephone_number": "210-614-6070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SYMS",
        "first_name": "CHARLES",
        "middle_name": "AUGUSTINE",
        "name_prefix": "Mr.",
        "name_suffix": "III",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-02",
        "last_updated": "2019-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "TX",
            "license": "K6356",
            "primary": false
        },
        {
            "code": "207YX0901X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Otology & Neurotology",
            "state": "TX",
            "license": "K6356",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102597502",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102597503",
            "state": "TX"
        }
    ],
    "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 Nov 26, 2019; 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.