Organization Active NPI

Byron L Limmer MD and Rachel L Limmer MD PA

  • Dermatology Physician
  • San Antonio, TX
National Provider Identifier
1922097062
Registry record updated May 29, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
J3783 Issued in TX
Legal business name
BYRON L LIMMER MD AND RACHEL L LIMMER MD PA
Practice address
14615 San Pedro Ave
Ste 210
San Antonio, TX 78232-4374
Phone
(210) 496-9929
Fax
(210) 496-6699
NPI assigned
Oct 20, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 29, 2012

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

Authorized official

Name
Byron Lee Limmer, MDNPI 1407963796
Title
President
Phone
(210) 496-9929

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207N00000X J3783 TX Primary
MOHS-Micrographic Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207ND0101X H8212 TX

Addresses

Primary practice location

14615 San Pedro Ave
Ste 210
San Antonio, TX 78232-4374

Mailing address

14615 San Pedro Ave
Ste 210
San Antonio, TX 78232-4374
Phone (210) 496-9929

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110405000625 TX Part B Supplier - Clinic/Group Practice 1557545209 Receives reassigned benefits from 3 practitioners
Practice locations: San Antonio, TX

National Provider Directory

National Provider Directory

Locations

4630 N Loop 1604 W
Ste 316
San Antonio, TX 78249
Phone (210) 496-9929

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1129766400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1338249600000",
    "number": "1922097062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14615 SAN PEDRO AVE",
            "address_2": "STE 210",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782324374",
            "telephone_number": "210-496-9929",
            "fax_number": "210-496-6699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14615 SAN PEDRO AVE",
            "address_2": "STE 210",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782324374",
            "telephone_number": "210-496-9929",
            "fax_number": "210-496-6699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BYRON L LIMMER MD AND RACHEL L LIMMER MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-20",
        "last_updated": "2012-05-29",
        "status": "A",
        "authorized_official_last_name": "LIMMER",
        "authorized_official_first_name": "BYRON",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "210-496-9929",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology",
            "state": "TX",
            "license": "J3783",
            "primary": true
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "TX",
            "license": "H8212",
            "primary": false
        }
    ],
    "identifiers": [],
    "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 May 29, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.