Active NPI
Saguaro Anesthesia Associates PA
- Specialist
- Laredo, TX
National Provider Identifier
1982740031
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- H6622
- Legal business name
- SAGUARO ANESTHESIA ASSOCIATES PA
- Doing business as
- The Pain Management Clinic of Laredo
- Practice address
- 9114 McPherson Rd Ste 2508
Laredo, TX 78045-6511 - Phone
- (956) 717-2962
- Fax
- (956) 717-0069
- NPI assigned
- Jan 29, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Judson Jeffrey Somerville, M. D.
- Title
- Medical Doctor
- Phone
- (956) 717-2962
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | H6622 | TX | Primary |
Addresses
Primary practice location
9114 McPherson Rd Ste 2508
Laredo, TX 78045-6511
Mailing address
9114 McPherson Rd Ste 2508
Laredo, TX 78045-6511
Phone (956) 717-2962
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0949422-01 | Medicaid | TX | |
| 00R65H | Other | TX | BLUE CROSS BLUE SHIELD |
Other names 1
- The Pain Management Clinic of Laredo
National Provider Directory
National Provider DirectoryLocations
9114 McPherson Rd
Ste 2508
Laredo, TX 78045
Phone (956) 717-2962
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170028800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1424822400000",
"number": "1982740031",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9114 MCPHERSON RD STE 2508",
"city": "LAREDO",
"state": "TX",
"postal_code": "780456511",
"telephone_number": "956-717-2962",
"fax_number": "956-717-0069"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9114 MCPHERSON RD STE 2508",
"city": "LAREDO",
"state": "TX",
"postal_code": "780456511",
"telephone_number": "956-717-2962",
"fax_number": "956-717-0069"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SAGUARO ANESTHESIA ASSOCIATES PA",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-29",
"last_updated": "2015-02-25",
"status": "A",
"authorized_official_last_name": "SOMERVILLE",
"authorized_official_first_name": "JUDSON",
"authorized_official_middle_name": "JEFFREY",
"authorized_official_title_or_position": "MEDICAL DOCTOR",
"authorized_official_telephone_number": "956-717-2962",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M. D."
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": "TX",
"license": "H6622",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0949422-01",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "00R65H",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "The Pain Management Clinic of Laredo",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Laredo, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.