Active NPI
Melissa H Binkley, LSA
- Surgical Physician Assistant
- San Antonio, TX
National Provider Identifier
1992000418
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Physician Assistant
- License
- SA00553
- Practice address
- 540 Madison Oak Dr
Ste 610
San Antonio, TX 78258-3924 - Phone
- (210) 352-5346
- Fax
- (210) 352-5367
- NPI assigned
- Jan 13, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Physician Assistant | 363AS0400X | SA00553 | TX | Primary |
Addresses
Primary practice location
540 Madison Oak Dr
Ste 610
San Antonio, TX 78258-3924
Mailing address
540 Madison Oak Dr
Ste 610
San Antonio, TX 78258-3924
Phone (210) 352-5346
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10-283 | Other | TX | BOARD CERTIFICATION |
| 8418NV | Other | TX | BCBSTX |
| SA00553 | Other | TX | LSA LICENSE |
| 12678891 | Other | TX | CAQH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SA00553 | TX | MD | Surgical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| San Antonio Surgical Assistants, Inc. | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Surgical Assistant
- San Antonio, TX
- NPI 1518198688
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1294876800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1517443200000",
"number": "1992000418",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "540 MADISON OAK DR",
"address_2": "STE 610",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782583924",
"telephone_number": "210-352-5346",
"fax_number": "210-352-5367"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "540 MADISON OAK DR",
"address_2": "STE 610",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782583924",
"telephone_number": "210-352-5346",
"fax_number": "210-352-5367"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BINKLEY",
"first_name": "MELISSA",
"middle_name": "H",
"credential": "LSA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-01-13",
"last_updated": "2018-02-01",
"status": "A"
},
"taxonomies": [
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "TX",
"license": "SA00553",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BOARD CERTIFICATION",
"identifier": "10-283",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBSTX",
"identifier": "8418NV",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LSA LICENSE",
"identifier": "SA00553",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAQH",
"identifier": "12678891",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in San Antonio, TX
- Bailey Allen Bingham, ATC
- Daniel Allan Bingham, BSN, RN, CMGT-BC
- Lee Anne Bingham, LPC
- Tamar Mechelle Bingham
- Darnay Shay Binguet, PT
- Keithley Elizabeth Binz, D.D.S.
- Bio-Medical Applications of San Antonio, LLC
- Bio-Medical Applications of San Antonio, LLC
- Bio-Medical Applications of Texas, Inc.
- Bio-Medical Applications of Texas, Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.