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EMERGENCY PEDIATRIC PHYSICIAN MGMT LLC
NPI 1508814385
Emergency Medicine - Pediatric Emergency Medicine in San Antonio, TX

Active since May 04, 2006
520 MADISON OAK, PEDS - EMERGENCY ROOM, SAN ANTONIO, TX 78258(210) 297-4050 Get Directions Write a Review

NPPES record last updated: June 13, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Emergency Pediatric Physician Mgmt Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EMERGENCY PEDIATRIC PHYSICIAN MGMT LLC (NPI 1508814385) is a healthcare organization registered as a pediatric emergency medicine in San Antonio, Texas and active in the NPI registry since May 2006. The organization lists James S. Potyka, General Partner, as its authorized official.

NPPES Registry Identity

NPI1508814385
Entity TypeOrganization
Primary Taxonomy207PP0204X
Legal Business NameEMERGENCY PEDIATRIC PHYSICIAN MGMT LLC
Location Address520 MADISON OAK, PEDS - EMERGENCY ROOMSan Antonio, TX 78258-3913
Mailing Address8401 Datapoint Dr, Suite 500San Antonio, TX 78229-5907 · (210) 614-0180 · Fax (210) 566-2063
Phone(210) 297-4050
Organization SubpartNo
Authorized OfficialJames S. PotykaGeneral Partner · (210) 495-9860
Enumeration DateMay 4, 2006
Last NPPES UpdateJune 13, 2008
✔ NPI 1508814385 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency Medicine · Pediatric Emergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207PP0204X
Definition
Pediatric Emergency Medicine is a clinical subspecialty that focuses on the care of the acutely ill or injured child in the setting of an emergency department.
520 MADISON OAK, San Antonio, TX 78258
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Other Identifiers 3

Other0030MSTX · Bcbstx
Medicaid174511901TX
Medicare PIN00911YTX

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PEDIATRIC INTENSIVE CARE OF SAN ANTONIO
Pediatrics (Pediatric Critical Care Medicine)
520 MADISON OAK
SAN ANTONIO, TX 78258
Bexar County (210) 558-6288

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Emergency Pediatric Physician Mgmt LLC's NPI number?

The NPI number for Emergency Pediatric Physician Mgmt LLC is 1508814385. It was assigned to this organization in the NPPES registry on May 4, 2006.

Where is Emergency Pediatric Physician Mgmt LLC located?

Emergency Pediatric Physician Mgmt LLC is located at 520 Madison Oak Peds - Emergency Room, San Antonio, TX 78258. The listed phone number is (210) 297-4050.

What is Emergency Pediatric Physician Mgmt LLC's specialty?

The primary specialty registered for this NPI is Emergency Medicine, specializing in Pediatric Emergency Medicine, with taxonomy code 207PP0204X.

When was this NPI record last updated?

The NPPES record for Emergency Pediatric Physician Mgmt LLC was last updated on June 13, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.