Organization Active NPI

Cancer Care Network of South Texas PA

  • Gynecologic Oncology Physician
  • San Antonio, TX
National Provider Identifier
1942451075
Registry record updated May 27, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecologic Oncology PhysicianTaxonomy code 207VX0201X
Legal business name
CANCER CARE NETWORK OF SOUTH TEXAS PA
Practice address
7922 Ewing Halsell
Ste. 220
San Antonio, TX 78229-3724
Phone
(210) 614-9548
Fax
(210) 616-0275
NPI assigned
Oct 7, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 27, 2010

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

Authorized official

Name
David H Gordon, MD
Title
President
Phone
(210) 545-6972

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207VG0400X
Gynecologic Oncology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207VX0201X Primary

Addresses

Primary practice location

7922 Ewing Halsell
Ste. 220
San Antonio, TX 78229-3724

Mailing address

7922 Ewing Halsell
Ste. 220
San Antonio, TX 78229-3724
Phone (210) 614-9548

Other identifiers 2

IdentifierTypeStateIssuer
00U40QOtherTXBCBS OF TX
109514302MedicaidTX

Other names 1

  • Fred M. Massey, M.D. P.A. Other name

National Provider Directory

National Provider Directory

Locations

7922 Ewing Halsell Dr
Ste 220
San Antonio, TX 78229
Phone (210) 614-9548

Practitioners & affiliated clinicians

Practitioners 1

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": "1223337600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1274918400000",
    "number": "1942451075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7922 EWING HALSELL",
            "address_2": "STE. 220",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782293724",
            "telephone_number": "210-614-9548",
            "fax_number": "210-616-0275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7922 EWING HALSELL",
            "address_2": "STE. 220",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782293724",
            "telephone_number": "210-614-9548",
            "fax_number": "210-616-0275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CANCER CARE NETWORK OF SOUTH TEXAS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-07",
        "last_updated": "2010-05-27",
        "status": "A",
        "authorized_official_last_name": "GORDON",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "210-545-6972",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207VX0201X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology, Gynecologic Oncology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF TX",
            "identifier": "00U40Q",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "109514302",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fred M. Massey, M.D. P.A.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 27, 2010; 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.