PRECISION ADDICTION MEDICINE PLLC
NPI 1144928037
Preventive Medicine - Addiction Medicine in San Antonio, TX

NPI Status: Active since February 20, 2023

Contact Information

7400 BLANCO RD STE 126
SAN ANTONIO, TX
ZIP 78216
Phone: (210) 627-4017
Fax: (210) 579-6873

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  • Organization
  • Preventive Medicine
  • Addiction Medicine
  • Accepts Insurance

About PRECISION ADDICTION MEDICINE PLLC

This page provides the complete NPI Profile along with additional information for Precision Addiction Medicine Pllc, a provider established in San Antonio, Texas operating as a Preventive Medicine, focusing in addiction medicine . The healthcare provider is registered in the NPI registry with number 1144928037 assigned on February 2023. The practitioner's primary taxonomy code is 2083A0300X. The provider is registered as an organization and their NPI record was last updated 3 years ago. Precision Addiction Medicine Pllc operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The authorized official of this NPI record is Richard Paul Green Iii Lcdc (Ceo)

NPI
1144928037
Provider Name
PRECISION ADDICTION MEDICINE PLLC
Entity Type
Organization
Location Address
7400 BLANCO RD STE 126 SAN ANTONIO, TX 78216
Location Phone
(210) 627-4017
Location Fax
(210) 579-6873
Mailing Address
7400 BLANCO RD STE 126 SAN ANTONIO, TX 78216
Mailing Phone
(210) 627-4017
Mailing Fax
(210) 579-6873
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
02-20-2023
Last Update Date
03-14-2023
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Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Preventive Medicine Addiction Medicine

Taxonomy Code
2083A0300X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
A physician engaged in the subspecialty practice of Addiction Medicine who specializes in the prevention, evaluation, diagnosis, treatment, and recovery of persons with the disease of addiction.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1170100000XOther Service Providers

Medical Genetics, Ph.D. Medical Genetics

 
2173000000XOther Service Providers

Legal Medicine

 
3175T00000XOther Service Providers

Peer Specialist

 
4207LA0401XAllopathic & Osteopathic Physicians

Anesthesiology
Addiction Medicine

 
5251B00000XAgencies

Case Management

 
6261QG0250XAmbulatory Health Care Facilities

Clinic/Center
Genetics

 
7261QM0850XAmbulatory Health Care Facilities

Clinic/Center
Adult Mental Health

 
8261QM1300XAmbulatory Health Care Facilities

Clinic/Center
Multi-Specialty

 
9261QP3300XAmbulatory Health Care Facilities

Clinic/Center
Pain

 
10261QR0405XAmbulatory Health Care Facilities

Clinic/Center
Rehabilitation, Substance Use Disorder

 
11261QR1100XAmbulatory Health Care Facilities

Clinic/Center
Research

 

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Gold 10 Advanced: $0 PCP + Aetna network + $0 walk-in clinic + Adult Dental + Vision - HMO
  • Gold 3 Advanced: Aetna network + $0 walk-in clinic + $0 CVS Health Virtual Care 24/7 - HMO
  • Gold 3 Advanced: Aetna network + $0 walk-in clinic + Adult Dental + Vision - HMO
  • Gold 4 Advanced: $0 PCP + Aetna network + $0 walk-in clinic + $0 CVS Health Virtual Care 24/7 - HMO
  • Gold S: Aetna network + $0 walk-in clinic + $0 CVS Health Virtual Care 24/7 - HMO
  • Silver 10 Advanced: $0 PCP + Aetna network + $0 walk-in clinic + $0 CVS Health Virtual Care 24/7 - HMO
  • Silver 10 Advanced: $0 PCP + Aetna network + $0 walk-in clinic + Adult Dental + Vision - HMO
  • Silver 5 Advanced: Aetna network + $0 walk-in clinic + $0 CVS Health Virtual Care 24/7 - HMO
  • Silver S: Aetna network + $0 walk-in clinic + $0 CVS Health Virtual Care 24/7 - HMO
  • Silver S: Aetna network + $0 walk-in clinic + $0 CVS Health Virtual Care 24/7 + Adult Dental+Vision - HMO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

RICHARD PAUL GREEN III LCDC

Authorized Official Title
CEO
Authorized Official Phone
(210) 627-4017

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
32082447940OTHER (01)TXTEXAS TAX ID NUMBER

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1144928037
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
21841821606
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 8 + 4 + 1 + 8 + 2 + 1 + 6 + 0 + 6 + 24 = 63
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 63 = 77

The NPI number 1144928037 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 8 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1942856281 TRINA BOLDEN LPC, LCDC
Individual
Counselor (Professional)7400 BLANCO RD STE 126
SAN ANTONIO, TX 78216
(210) 699-8700
1194453589 SARAH GLENN MOEHRIG LPA
Individual
Psychologist (Clinical)7400 BLANCO RD STE 126
SAN ANTONIO, TX 78216
(210) 699-8700
1306547534 DILLON ETHAN LOPEZ RSPS, MHPS
Individual
Peer Specialist7400 BLANCO RD STE 126
SAN ANTONIO, TX 78216
(210) 627-4017
1982208765 RICHARD PAUL GREEN III LCDC
Individual
Counselor (Addiction (Substance Use Disorder))7400 BLANCO RD STE 126
SAN ANTONIO, TX 78216
(210) 627-4017
1750161329 AMANDA CLARE KRITSONIS LCDC-I
Individual
Counselor (Addiction (Substance Use Disorder))7400 BLANCO RD STE 126
SAN ANTONIO, TX 78216
(210) 627-4017
1023789823PRECISION COUNSELING
Organization
Clinic/Center (Rehabilitation, Substance Use Disorder)7400 BLANCO RD STE 126
SAN ANTONIO, TX 78216
(210) 627-4017
1043471469DR. VICTOR M ROMO M.D.
Individual
Emergency Medicine7400 BLANCO RD STE 126
SAN ANTONIO, TX 78216
(210) 627-4017
1861072365PRECISION TRANSLATIONAL MEDICINE
Organization
Community/Behavioral Health7400 BLANCO RD STE 126
SAN ANTONIO, TX 78216
(210) 627-4017

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1144928037, enumerated in the NPI registry as an "organization" on February 20, 2023

The provider is located at 7400 Blanco Rd Ste 126 San Antonio, Tx 78216 and the phone number is (210) 627-4017

This medical organization specializes in Preventive Medicine with taxonomy code 2083A0300X with a focus in Addiction Medicine

The provider might be accepting Accepts: Aetna CVS Health, Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on February 20, 2023. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.