Organization Active NPI

Saguaro Anesthesia Associates PA

  • Specialist
  • Laredo, TX
National Provider Identifier
1982740031
Registry record updated Feb 25, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
H6622 Issued in TX
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

Updated by the provider on Feb 25, 2015

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)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
0949422-01MedicaidTX
00R65HOtherTXBLUE CROSS BLUE SHIELD

Other names 1

  • The Pain Management Clinic of Laredo Doing business as

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.