Organization Active NPI

Northwest Pediatric Associates

  • Specialist
  • San Antonio, TX
National Provider Identifier
1952446593
Registry record updated Nov 2, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
NORTHWEST PEDIATRIC ASSOCIATES
Practice address
7007 Bandera Rd
Suite 19
San Antonio, TX 78238-1138
Phone
(210) 680-6000
Fax
(210) 256-9813
NPI assigned
Feb 21, 2007
Last updated
Nov 2, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2007

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

Authorized official

Name
Janet M Noll, MDNPI 1992784177
Title
Officer Secretary Treasurer
Phone
(210) 680-6000

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X TX Primary

Addresses

Primary practice location

7007 Bandera Rd
Suite 19
San Antonio, TX 78238-1138

Mailing address

7007 Bandera Rd
Suite 19
San Antonio, TX 78238-1265
Phone (210) 680-6000

Other identifiers 2

IdentifierTypeStateIssuer
00SN08OtherTXBLUE CROSS
1952446593OtherTXNPI

National Provider Directory

National Provider Directory

Locations

7007 Bandera Rd
Ste 19
San Antonio, TX 78238
Phone (210) 680-6000

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1172016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193961600000",
    "number": "1952446593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7007 BANDERA RD",
            "address_2": "SUITE 19",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782381265",
            "telephone_number": "210-680-6000",
            "fax_number": "210-680-9153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7007 BANDERA RD",
            "address_2": "SUITE 19",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782381138",
            "telephone_number": "210-680-6000",
            "fax_number": "210-256-9813"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWEST PEDIATRIC ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-21",
        "last_updated": "2007-11-02",
        "status": "A",
        "authorized_official_last_name": "NOLL",
        "authorized_official_first_name": "JANET",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OFFICER SECRETARY TREASURER",
        "authorized_official_telephone_number": "210-680-6000",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "00SN08",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1952446593",
            "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 2, 2007; 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.