PEDIATRIC DIGESTIVE CARE OF SAN ANTONIO – NPI #1548389307
Pediatrics

A pediatrician who specializes in the diagnosis and treatment of diseases of the digestive systems of infants, children and adolescents. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using lighted scopes to see internal organs.

Health Care Provider Taxonomy Code for Pediatrics

PEDIATRIC DIGESTIVE CARE OF SAN ANTONIO is a provider located in SAN ANTONIO, TX. NPPES has assigned the NPI number 1548389307 to PEDIATRIC DIGESTIVE CARE OF SAN ANTONIO on March 29, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “PEDIATRIC DIGESTIVE CARE OF SAN ANTONIO” is a dba name, the actual legal business name for this organization is DIGESTIVE CARE FOR CHILDREN. The primary taxonomy selected by this provider is 2080P0206X from the Health Care Provider Taxonomy code set, which is classified as Pediatrics, specializing in Pediatric Gastroenterology

The NPI profile was previously updated about 15 years ago on Feb 09, 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 PEDIATRIC DIGESTIVE CARE OF SAN ANTONIO below.

NPI Profile for
DIGESTIVE CARE FOR CHILDREN

NPI Number
1548389307
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
DIGESTIVE CARE FOR CHILDREN
Doing Business As (dba): PEDIATRIC DIGESTIVE CARE OF SAN ANTONIO
Primary location
109 GALLERY CIRCLE
SUITE 115
SAN ANTONIO, TX 78258
Phone: (210) 614-3100 Fax: (210) 692-7667
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
EDUARDO IBARGUEN-SECCHIA
PRESIDENT
Phone: (210) 614-3100
Updated
Identifiers

Identifiers for PEDIATRIC DIGESTIVE CARE OF SAN ANTONIO

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
MEDICAIDTX081043401
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
2080P0206X
- Pediatrics / Pediatric Gastroenterology (Primary)

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.