SUMMIT CHILDREN'S CLINIC PA
NPI 1285752105
Pediatrics in San Antonio, TX

NPI Status: Active since March 27, 2007

Contact Information

401 W. SUMMIT
SAN ANTONIO, TX
ZIP 78212
Phone: (210) 736-3126
Fax: (210) 733-1953

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  • Organization
  • Pediatrics

About SUMMIT CHILDREN'S CLINIC PA

This page provides the complete NPI Profile along with additional information for Summit Children's Clinic Pa, a pediatrician established in San Antonio, Texas operating as a Pediatrics. The healthcare provider is registered in the NPI registry with number 1285752105 assigned on March 2007. The practitioner's primary taxonomy code is 208000000X. The provider is registered as an organization and their NPI record was last updated 14 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The provider's former legal business name is Robert K. Johnson Md Pa & Assoc. The authorized official of this NPI record is Ms. Sergio E. Ramon Md (Physician/owner)

NPI
1285752105
Provider Legal Name
SUMMIT CHILDREN'S CLINIC PA
Other Organization Name
ROBERT K. JOHNSON MD PA & ASSOC
Other Name Type
Former Legal Business Name (4)
Entity Type
Organization
Location Address
401 W. SUMMIT SAN ANTONIO, TX 78212
Location Phone
(210) 736-3126
Location Fax
(210) 733-1953
Mailing Address
401 W. SUMMIT SAN ANTONIO, TX 78212
Mailing Phone
(210) 736-3126
Mailing Fax
(210) 733-1953
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-27-2007
Last Update Date
05-03-2011
Code Navigator

A pediatrician like Summit Children's Clinic Pa is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Pediatrics

Taxonomy Code
208000000X
Type
Allopathic & Osteopathic Physicians
License State
TX
Taxonomy Description
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1208000000XAllopathic & Osteopathic Physicians

Pediatrics

F1687 (TX)

Group Taxonomy 193400000X MULTIPLE SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MS. SERGIO E. RAMON MD

Authorized Official Title
PHYSICIAN/OWNER
Authorized Official Phone
(210) 736-3126

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
G75263MEDICARE UPIN (02)TX 
041962403MEDICAID (05)TX 
E80949MEDICARE UPIN (02)TX 
130516101MEDICAID (05)TX 
039825702MEDICAID (05)TX 
G75260MEDICARE UPIN (02)TX 
080323101MEDICAID (05)TX 

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1285752105
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
22165145410
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 1 + 6 + 5 + 1 + 4 + 5 + 4 + 1 + 0 + 24 = 55
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 55 = 55

The NPI number 1285752105 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1285752105, enumerated as an "organization" on March 27, 2007.

The provider is located at 401 W. SUMMIT SAN ANTONIO, TX 78212 and the phone number is (210) 736-3126.

Pediatrics with taxonomy code 208000000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.