Organization Active NPI

Westover Hills Surgical Associates

  • Surgery Physician
  • San Antonio, TX
National Provider Identifier
1952590390
Registry record updated Jun 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
H8107 Issued in TX
Legal business name
WESTOVER HILLS SURGICAL ASSOCIATES
Practice address
3903 Wiseman Blvd
Ste 304
San Antonio, TX 78251-4401
Phone
(210) 521-1987
Fax
(210) 521-1927
NPI assigned
Oct 22, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2008

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

Authorized official

Name
Dr. Gregory Hamon, M.D.NPI 1225033194
Title
President
Phone
(210) 479-5784

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Phlebology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 202K00000X H8107 TX
Surgery PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 208600000X H8107 TX Primary
Vascular Surgery PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 2086S0129X H8107 TX

Addresses

Primary practice location

3903 Wiseman Blvd
Ste 304
San Antonio, TX 78251-4401

Mailing address

3903 Wiseman Blvd
Ste 304
San Antonio, TX 78251-4401
Phone (210) 521-1987

Other identifiers 1

IdentifierTypeStateIssuer
0052QHOtherTXBCBSTX

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080320000178 TX Part B Supplier - Clinic/Group Practice 4486730157 Receives reassigned benefits from 1 practitioner
Practice locations: San Antonio, TX

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1193011200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214784000000",
    "number": "1952590390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3903 WISEMAN BLVD",
            "address_2": "STE 304",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782514401",
            "telephone_number": "210-521-1987",
            "fax_number": "210-521-1927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3903 WISEMAN BLVD",
            "address_2": "STE 304",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782514401",
            "telephone_number": "210-521-1987",
            "fax_number": "210-521-1927"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTOVER HILLS SURGICAL ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-22",
        "last_updated": "2008-06-30",
        "status": "A",
        "authorized_official_last_name": "HAMON",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "210-479-5784",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "202K00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Phlebology",
            "state": "TX",
            "license": "H8107",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Surgery",
            "state": "TX",
            "license": "H8107",
            "primary": true
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Surgery, Vascular Surgery",
            "state": "TX",
            "license": "H8107",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSTX",
            "identifier": "0052QH",
            "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 Jun 30, 2008; 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.