Provider Type Icon

SUMMIT CHILDREN'S CLINIC PA NPI 1285752105


NPI Information

NPI: 1285752105
Provider Name: SUMMIT CHILDREN'S CLINIC PA

Former Legal Business Name: ROBERT K. JOHNSON MD PA & ASSOC

Classification: Pediatrics - 208000000X
Entity Type: Organization
Address:
401 W. SUMMIT
SAN ANTONIO, TX
ZIP 78212
Phone: (210) 736-3126
Get Directions

SUMMIT CHILDREN'S CLINIC PA is a pediatrics in San Antonio, TX. The provider is 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 NPI is 1285752105. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Former Legal Business Name Is Robert K. Johnson Md Pa & Assoc.

The provider's business location address is:

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

The provider's authorized official is Sergio E. Ramon .
The authorized official title is Physician/owner and has the following contact phone number (210) 736-3126.

The enumeration date for this NPI number is 3/27/2007 and was last updated on 5/3/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208000000XPediatricsF1687TEXASNo
2208000000XPediatricsTEXASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1G75263MEDICARE UPINTEXAS
2041962403MEDICAIDTEXAS
3E80949MEDICARE UPINTEXAS
4130516101MEDICAIDTEXAS
5039825702MEDICAIDTEXAS
6G75260MEDICARE UPINTEXAS
7080323101MEDICAIDTEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.