Organization Active NPI

Sonterra Endoscopy Center LTD

  • Ambulatory Surgical Clinic/Center
  • San Antonio, TX
National Provider Identifier
1992734016
Registry record updated Jan 28, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
008069 Issued in TX
Legal business name
SONTERRA ENDOSCOPY CENTER LTD
Practice address
225 E Sonterra Blvd
Suite 101
San Antonio, TX 78258-3992
Phone
(210) 481-7477
Fax
(210) 481-7622
NPI assigned
Jul 1, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2010

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

Authorized official

Name
Dr. Gerald Green, MD
Title
President
Phone
(210) 403-3528

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X 008069 TX Primary

Addresses

Primary practice location

225 E Sonterra Blvd
Suite 101
San Antonio, TX 78258-3992

Mailing address

225 E Sonterra Blvd
Suite 101
San Antonio, TX 78258-3992
Phone (210) 403-3528

Other identifiers 1

IdentifierTypeStateIssuer
168254401MedicaidTX

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the 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.

NPI Registry JSON

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

{
    "created_epoch": "1151712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1264636800000",
    "number": "1992734016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 E SONTERRA BLVD",
            "address_2": "SUITE 101",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782583992",
            "telephone_number": "210-403-3528",
            "fax_number": "210-481-7622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 E SONTERRA BLVD",
            "address_2": "SUITE 101",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782583992",
            "telephone_number": "210-481-7477",
            "fax_number": "210-481-7622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SONTERRA ENDOSCOPY CENTER LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-01",
        "last_updated": "2010-01-28",
        "status": "A",
        "authorized_official_last_name": "GREEN",
        "authorized_official_first_name": "GERALD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "210-403-3528",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "TX",
            "license": "008069",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "168254401",
            "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 Jan 28, 2010; 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.