Look up the most recent NPI and PECOS records

Gcsa Anesthesia Pllc

(Alamo City Endoscopy Anesthesia)

Anesthesiology

Allopathic & Osteopathic Physicians

5223 Hamilton Wolfe Rd, San Antonio, TX 78229-4463

PECOS Enrollment

Based on the most recent information from CMS, provider Gcsa Anesthesia Pllc does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1184017741
Provider Type
Organization
Full Name
Gcsa Anesthesia Pllc
Other Name
Alamo City Endoscopy Anesthesia

Subpart
No
Enumeration Date
3/6/2015
Last Updated
11/8/2018

Contact Information

Practice Location

5223 Hamilton Wolfe Rd, San Antonio, TX 78229-4463

(210) 614-1234

(210) 614-0954

Mailing Location

Mcs #226, Po Box 659831, San Antonio, TX 78265-9130

(210) 614-1234

(210) 614-0954

Authorized Official

Shaffer, Richard (Managing Partner)

(210) 614-1234

Provider Taxonomies

Code	Description	License
Code 207L00000X Primary	Description Anesthesiology Allopathic & Osteopathic Physicians	License Unlisted Issuer
Code 367500000X	Description Nurse Anesthetist, Certified Registered Physician Assistants & Advanced Practice Nursing Providers	License Unlisted Issuer

Gcsa Anesthesia Pllc

(Alamo City Endoscopy Anesthesia)

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Authorized Official

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Durgempudi Tripura, Sundara Reddy

Stowers, Ashlie Renee

Holmgreen, William

Foote, Jared Thomas

Sachse, Kaylyn

Solomon, Stuart

Furman, Joseph Rochman

Little, Michael Brandon

Freeman, Rachel Michelle

Zelic, Maximilian