{"npi":"1265423693","type":"NPI-2","status":"active","name":{"display":"M&s Radiology Associates, PA","other":[],"organization_name":"M&S RADIOLOGY ASSOCIATES, PA","authorised_official":"Phillip Fortenberry"},"specialty":{"primary_taxonomy":"174400000X","primary_taxonomy_description":"Specialist","slug":"specialist","schema_org_specialty":null,"all":[{"code":"174400000X","description":"Specialist","primary":true,"state":null,"license":null}]},"addresses":[{"purpose":"LOCATION","street_1":"8715 VILLAGE DR STE 320","city":"SAN ANTONIO","state":"TX","postal_code":"782175407","country_code":"US","phone":"2108588019","fax":"2104550169"},{"purpose":"MAILING","street_1":"DEPT D8288","city":"DALLAS","state":"TX","postal_code":"752650282","country_code":"US","street_2":"P O BOX 650002","phone":"8006661816","fax":"7066535917"}],"license":null,"identifiers":[{"type_code":"05","label":"Medicaid","value":"164588901","state":"TX","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20040603001447","type_code":"12-70","type_desc":"PART B SUPPLIER - CLINIC/GROUP PRACTICE","state":"TX","pac_id":"3173505088"},{"enrlmt_id":"O20200818002813","type_code":"12-70","type_desc":"PART B SUPPLIER - CLINIC/GROUP PRACTICE","state":"CA","pac_id":"3173505088"},{"enrlmt_id":"O20211203002538","type_code":"12-70","type_desc":"PART B SUPPLIER - CLINIC/GROUP PRACTICE","state":"NC","pac_id":"3173505088"},{"enrlmt_id":"O20231213001376","type_code":"12-70","type_desc":"PART B SUPPLIER - CLINIC/GROUP PRACTICE","state":"UT","pac_id":"3173505088"},{"enrlmt_id":"O20240313004495","type_code":"12-70","type_desc":"PART B SUPPLIER - CLINIC/GROUP PRACTICE","state":"NV","pac_id":"3173505088"},{"enrlmt_id":"O20240315002798","type_code":"12-70","type_desc":"PART B SUPPLIER - CLINIC/GROUP PRACTICE","state":"IL","pac_id":"3173505088"},{"enrlmt_id":"O20250617001358","type_code":"12-70","type_desc":"PART B SUPPLIER - CLINIC/GROUP PRACTICE","state":"FL","pac_id":"3173505088"},{"enrlmt_id":"O20250624003751","type_code":"12-70","type_desc":"PART B SUPPLIER - CLINIC/GROUP PRACTICE","state":"MA","pac_id":"3173505088"},{"enrlmt_id":"O20250728003419","type_code":"12-70","type_desc":"PART B SUPPLIER - CLINIC/GROUP PRACTICE","state":"MN","pac_id":"3173505088"},{"enrlmt_id":"O20260121003335","type_code":"12-70","type_desc":"PART B SUPPLIER - CLINIC/GROUP PRACTICE","state":"NH","pac_id":"3173505088"},{"enrlmt_id":"O20260210004237","type_code":"12-70","type_desc":"PART B SUPPLIER - CLINIC/GROUP PRACTICE","state":"MI","pac_id":"3173505088"}]},"enumeration_date":"2005-11-03","last_updated":"2022-12-20","_meta":{"source":"NPPES","snapshot_date":"2022-12-20","doc_url":"https://findmynpi.com/api"}}