VMD PRIMARY PROVIDERS SOUTH HILL COUNTRY TEXAS, PLLC
Complete NPI Record 1902400880
Family Medicine in San Antonio, TX
Active since November 23, 2020
Complete NPI Dataset
This page contains the complete raw NPPES record for Vmd Primary Providers South Hill Country Texas, Pllc (NPI 1902400880), a family medicine organization in San Antonio, TX. All 40 fields on file are listed with their current values and official NPPES definitions, exactly as recorded in the National Plan and Provider Enumeration System. Only fields that contain data are included, so the number of fields shown varies from one NPI record to another.
Use the tools below to filter fields by category, search within the record, or jump straight to a specific field. You can download the full record as a CSV, JSON, Markdown or text file, or filter first and export only the fields you need. The Print Clean Summary button produces a printer-friendly copy of the record.
Registry File Document Utilities
- NPI: 1902400880 Field 1/40
- The 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider. The NPI number includes an ISO standard check-digit in the 10th position. There is no intelligence about the health care provider in the number.
- Entity Type Code: 2 Field 2/40
- Code describing the type of health care provider that is being assigned an NPI. Codes are 1 = (Person): individual human being who furnishes health care; 2 = (Non-person): entity other than an individual human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).
- Employer Identification Number EIN: Not available Field 3/40
- The Employer Identification Number (EIN), assigned by the IRS, of the provider being identified.
- Provider Organization Name Legal Business Name: VMD PRIMARY PROVIDERS SOUTH HILL COUNTRY TEXAS, PLLC Field 4/40
- The name of the organization provider. If the provider is an organization, this is the legal business name.
- Provider Other Organization Name: Not available Field 5/40
- Other name by which the organization provider is or has been known.
- Provider Other Organization Name Type Code: 6 Field 6/40
- Code identifying the type of other name. Codes are: 1 = former name; 2 = professional name; 3 = doing business as (d/b/ a) name; 4 = former legal business name; 5 = other.
- Provider First Line Business Mailing Address: PO BOX 31268 Field 7/40
- The first line mailing address of the provider being identified. This data element may contain the same information as "Provider first line location address".
- Provider Business Mailing Address City Name: BELFAST Field 8/40
- The city name in the mailing address of the provider being identified.
- Provider Business Mailing Address State Name: ME Field 9/40
- The State or Province name in the mailing address of the provider being identified. This data element may contain the same information as "Provider location address State name".
- Provider Business Mailing Address Postal Code: 049150150 Field 10/40
- The postal ZIP or zone code in the mailing address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available. This data element may contain the same information as "Provider location address postal code".
- Provider Business Mailing Address Country Code If outside U S : US Field 11/40
- The country code in the mailing address of the provider being identified. This data element may contain the same information as "Provider location address country code".
- Provider Business Mailing Address Telephone Number: 2104368400 Field 12/40
- The telephone number associated with mailing address of the provider being identified. This data element may contain the same information as "Provider location address telephone number".
- Provider Business Mailing Address Fax Number: 8334521052 Field 13/40
- The fax number associated with the mailing address of the provider being identified. This data element may contain the same information as "Provider location address fax number".
- Provider First Line Business Practice Location Address: 1581 AUSTIN HWY Field 14/40
- The first line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
- Provider Business Practice Location Address City Name: SAN ANTONIO Field 15/40
- The city name in the location address of the provider being identified.
- Provider Business Practice Location Address State Name: TX Field 16/40
- The State code in the location of the provider being identified.
- Provider Business Practice Location Address Postal Code: 782181848 Field 17/40
- The postal ZIP or zone code in the location address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available.
- Provider Business Practice Location Address Country Code If outside U S : US Field 18/40
- The country code in the location address of the provider being identified.
- Provider Business Practice Location Address Telephone Number: 2104368400 Field 19/40
- The telephone number associated with the location address of the provider being identified.
- Provider Business Practice Location Address Fax Number: 8334521052 Field 20/40
- The fax number associated with the location address of the provider being identified.
- Authorized Official Last Name: RAGER Field 23/40
- The last name of the person authorized to submit the NPI application or to change NPS data for a health care provider.
- Authorized Official First Name: REBECCA Field 24/40
- The first name of the authorized official.
- Authorized Official Title or Position: DIRECTOR REVENUE CYCLE Field 25/40
- The title or position of the authorized official.
- Authorized Official Telephone Number: 8449690686 Field 26/40
- The 10-position telephone number of the authorized official.
- Healthcare Provider Taxonomy Code 1: 363L00000X Field 27/40
- This field represents the provider's taxonomy code, which classifies their type, classification, and area of specialization. This code comes from the Healthcare Provider Taxonomy Code Set maintained by the National Uniform Claim Committee (NUCC). The NPS will associate these data with the license data for providers with Entity type code = 1.
- Healthcare Provider Primary Taxonomy Switch 1: N Field 28/40
- This field shows whether the related taxonomy code is the provider's primary specialty. It is a single-character value: "Y" indicates the taxonomy is the primary one, while "N" indicates it is not. Each provider record can have only one taxonomy code marked as primary.
- Healthcare Provider Taxonomy Code 2: 207R00000X Field 29/40
- This field represents the provider's taxonomy code, which classifies their type, classification, and area of specialization. This code comes from the Healthcare Provider Taxonomy Code Set maintained by the National Uniform Claim Committee (NUCC). The NPS will associate these data with the license data for providers with Entity type code = 1.
- Healthcare Provider Primary Taxonomy Switch 2: N Field 30/40
- This field shows whether the related taxonomy code is the provider's primary specialty. It is a single-character value: "Y" indicates the taxonomy is the primary one, while "N" indicates it is not. Each provider record can have only one taxonomy code marked as primary.
- Healthcare Provider Taxonomy Code 3: 363A00000X Field 31/40
- This field represents the provider's taxonomy code, which classifies their type, classification, and area of specialization. This code comes from the Healthcare Provider Taxonomy Code Set maintained by the National Uniform Claim Committee (NUCC). The NPS will associate these data with the license data for providers with Entity type code = 1.
- Healthcare Provider Primary Taxonomy Switch 3: N Field 32/40
- This field shows whether the related taxonomy code is the provider's primary specialty. It is a single-character value: "Y" indicates the taxonomy is the primary one, while "N" indicates it is not. Each provider record can have only one taxonomy code marked as primary.
- Healthcare Provider Taxonomy Code 4: 207Q00000X Field 33/40
- This field represents the provider's taxonomy code, which classifies their type, classification, and area of specialization. This code comes from the Healthcare Provider Taxonomy Code Set maintained by the National Uniform Claim Committee (NUCC). The NPS will associate these data with the license data for providers with Entity type code = 1.
- Healthcare Provider Primary Taxonomy Switch 4: Y Field 34/40
- This field shows whether the related taxonomy code is the provider's primary specialty. It is a single-character value: "Y" indicates the taxonomy is the primary one, while "N" indicates it is not. Each provider record can have only one taxonomy code marked as primary.
- Is Organization Subpart: N Field 35/40
- Indicates whether the provider is a subpart of a larger organization. This is a single-character code: "Y" means the entity is an organizational subpart, while "N" means it is not. Subparts typically include hospital departments, clinics, or other distinct units that fall under a parent organization.
- Healthcare Provider Taxonomy Group 1: 193200000X MULTI-SPECIALTY GROUP Field 36/40
- Specifies whether the provider is part of a single-specialty or multi-specialty business group. The possible values are: 193200000X – Multi-Specialty Group or 193400000X – Single Specialty Group. This field helps distinguish the organizational structure of a provider group.
- Healthcare Provider Taxonomy Group 2: 193200000X MULTI-SPECIALTY GROUP Field 37/40
- Specifies whether the provider is part of a single-specialty or multi-specialty business group. The possible values are: 193200000X – Multi-Specialty Group or 193400000X – Single Specialty Group. This field helps distinguish the organizational structure of a provider group.
- Healthcare Provider Taxonomy Group 3: 193200000X MULTI-SPECIALTY GROUP Field 38/40
- Specifies whether the provider is part of a single-specialty or multi-specialty business group. The possible values are: 193200000X – Multi-Specialty Group or 193400000X – Single Specialty Group. This field helps distinguish the organizational structure of a provider group.
- Healthcare Provider Taxonomy Group 4: 193200000X MULTI-SPECIALTY GROUP Field 39/40
- Specifies whether the provider is part of a single-specialty or multi-specialty business group. The possible values are: 193200000X – Multi-Specialty Group or 193400000X – Single Specialty Group. This field helps distinguish the organizational structure of a provider group.
Other Organization Names 1
Additional business and trade names this provider has on file with the NPPES registry.
Village Medical Doing Business As
Name 1/1Doing Business As: A trade name or operating name under which an organization provides services, distinct from its registered legal business name.
Secondary Practice Locations 13
The first line of the secondary practice location address of the provider being identified. For providers with more than one physical location, this is a secondary practice location address. This address cannot include a Post Office box.
9080 Marbach Rd
Location 1/13San Antonio, TX 78245-1810 · Phone (210) 436-8400 · Fax (833) 452-1052
6800 W Ih 10 Ste 201
Location 2/13San Antonio, TX 78201-2041 · Phone (210) 436-8400 · Fax (833) 452-1052
7579 N Loop 1604 W Ste 100
Location 3/13San Antonio, TX 78249-2782 · Phone (210) 436-8400 · Fax (833) 452-1052
2200 E Houston St
Location 4/13San Antonio, TX 78202-3007 · Phone (210) 436-8400 · Fax (833) 452-1052
12020 Culebra Rd # 101
Location 5/13San Antonio, TX 78253-6478 · Phone (210) 436-8400 · Fax (833) 452-1052
12952 Bandera Rd Ste 105
Location 6/13Helotes, TX 78023-4690 · Phone (210) 436-8400 · Fax (833) 452-1052
6393 Babcock Rd # 102
Location 7/13San Antonio, TX 78240-2516 · Phone (210) 436-8400 · Fax (833) 452-1052
20800 US Highway 281 N
Location 8/13San Antonio, TX 78258-7523 · Phone (210) 436-8400 · Fax (833) 452-1052
6901 San Pedro Ave # 102
Location 9/13San Antonio, TX 78216-6206 · Phone (210) 436-8400 · Fax (833) 452-1052
2710 Nogalitos
Location 10/13San Antonio, TX 78225-1750 · Phone (210) 436-8400 · Fax (833) 452-1052
901 Bitters Rd Ste 102
Location 11/13San Antonio, TX 78216-2369 · Phone (210) 436-8400 · Fax (833) 452-1052
8530 Fm 78
Location 12/13Converse, TX 78109-1032 · Phone (210) 436-8400 · Fax (833) 452-1052
6017 Ingram Rd # 102
Location 13/13San Antonio, TX 78238-4403 · Phone (210) 436-8400 · Fax (833) 452-1052
No registry entries match your active lookup criteria.
