SUMMIT CHILDREN'S CLINIC PA – NPI #1285752105
Pediatrics

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.

SUMMIT CHILDREN'S CLINIC PA is a provider located in SAN ANTONIO, TX. NPPES has assigned the NPI number 1285752105 to SUMMIT CHILDREN'S CLINIC PA on March 27, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The former legal business name for this organization is ROBERT K. JOHNSON MD PA & ASSOC. The primary taxonomy selected by this provider is 208000000X from the Health Care Provider Taxonomy code set, which is classified as Pediatrics.

The NPI profile was previously updated about 15 years ago on May 03, 2011. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for SUMMIT CHILDREN'S CLINIC PA below.

NPI Profile for
SUMMIT CHILDREN'S CLINIC PA

NPI Number
1285752105
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
SUMMIT CHILDREN'S CLINIC PA
Former Legal Business Name: ROBERT K. JOHNSON MD PA & ASSOC
Primary location
401 W. SUMMIT
SAN ANTONIO, TX 78212
Phone: (210) 736-3126 Fax: (210) 733-1953
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
SERGIO RAMON
PHYSICIAN/OWNER
Phone: (210) 736-3126
Updated
Identifiers

Identifiers for SUMMIT CHILDREN'S CLINIC PA

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDTX039825702
MEDICAIDTX041962403
MEDICAIDTX080323101
MEDICAIDTX130516101
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
208000000X
- Pediatrics (Primary)
TX F1687

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.