LEADING EDGE EMERGENCY PHYSICIANS, INC (NPI# 1003165259) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003165259 |
| Entity Type | Organization |
| Organization Name | LEADING EDGE EMERGENCY PHYSICIANS, INC |
| Practice Address |
16088 San Pedro Ave San Antonio TX 78232-2251 |
| Mailing Address |
Po Box 733850 Dallas TX 75373-3850 |
| Practice Telephone | 8773462211 |
| Practice Fax Number | 7133576821 |
| Mailing Telephone | 8773462211 |
| Mailing Fax Number | 7133576821 |
| Enumeration Date | 2012-09-04 |
| Last Update Date | 2019-08-08 |
| Authorized Official Name | JOHN D MIDDLEBROOK (AUTHORIZED OFFICIAL) |
| Authorized Official Telephone | 8773462211 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902324551 | Leading Edge Emergency Physicians, Inc | Emergency Medicine | 13600 Horizon Blvd Suite 100, Horizon City, TX 79928 | 2017-09-05 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | LEADING EDGE EMERGENCY PHYSICIANS, INC. | 16088 San Pedro Dr, San Antonio, TX 78232-2249 |
| Street Address |
16088 SAN PEDRO AVE |
| City | SAN ANTONIO |
| State | TX |
| Zip Code | 78232-2251 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780670059 | Evan Craig Guz | Emergency Medicine | 16088 San Pedro Ave, San Antonio, TX 78232-2251 | 2005-09-22 |
| 1831637529 | Stacey Anderson | Nurse Practitioner | 16088 San Pedro Ave, Suite 115, San Antonio, TX 78232-2251 | 2017-02-02 |
| 1417120312 | Charles Francis Lanzillo IIi | Emergency Medicine | 16088 San Pedro Ave, San Antonio, TX 78232 | 2008-04-11 |
| 1265579882 | Ahmed Farsad Shaikh | Emergency Medicine | 16088 San Pedro Ave, San Antonio, TX 78232-2249 | 2007-01-31 |
| 1215013388 | Gabriel Rodriguez | Emergency Medicine | 16088 San Pedro Ave, San Antonio, TX 78232-2249 | 2006-10-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295371334 | Rachelle Renee Morales | Counselor | 620 W Afton Oaks Blvd, San Antonio, TX 78232 | 2019-11-25 |
| 1508328360 | Ruene Anne Villalobos | Licensed Vocational Nurse | North Loop 1604 E #350, San Antonio, TX 78232 | 2019-04-02 |
| 1063908671 | Steven C. Albright Dds, Pa | Oral & Maxillofacial Surgery | 15600 San Pedro Ave Ste 107, San Antonio, TX 78232 | 2018-07-06 |
| 1437666583 | Jennifer Harris | Physician Assistant | 1380 Pantheon Way Ste 310, San Antonio, TX 78232 | 2018-01-10 |
| 1003334616 | Third Space Counseling and Consultation, Pllc | Counselor | 1380 Pantheon Way Suite 245, San Antonio, TX 78232 | 2017-09-03 |
| 1336678135 | Gregory Arellanes | Specialist/Technologist, Other | 1141 N Loop 1604 E #105-612, San Antonio, TX 78232 | 2017-06-06 |
| 1528437811 | Jonathan Hodge | Specialist/Technologist, Other | 1141 E Loop 1604, Suite 105, San Antonio, TX 78232 | 2015-09-17 |
| 1356726376 | Shawn Grubbs | Spec/Tech, Cardiovascular | 16620 Us Hwy 281n, Suite 300, San Antonio, TX 78232 | 2015-07-21 |
| 1336522051 | Comprehensive Neuromonitoring Pllc | Psychiatry & Neurology | 1411 N Loop 1064 E 105-612, San Antonio, TX 78232 | 2015-06-30 |
| 1841690526 | Janet Porter | Registered Nurse | 15909 San Pedro Ave Ste 204, San Antonio, TX 78232 | 2014-08-29 |
| Find all providers in zip 78232 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568062297 | Davies Recovery,llc | Emergency Medicine | 9503 Middlex Dr, San Antonio, TX 78217-5915 | 2020-10-30 |
| 1013421544 | Usacs Emergency Medicine Services of Texas, Pllc | Emergency Medicine | 7719 Interstate 35 S, San Antonio, TX 78224-1469 | 2017-11-20 |
| 1508384975 | Fred David Prentice | Emergency Medicine | 7 Venice Ct, San Antonio, TX 78257-1310 | 2017-09-06 |
| 1720435571 | Matthew Michael Hessel | Emergency Medicine | 3551 Roger Brooke Drive - Emergency Medicine Department, Jbsa-fort Sam Houston, San Antonio, TX 78234-4504 | 2016-05-23 |
| 1164817946 | Roland Manuel Dimaya | Emergency Medicine | 11503 Nw Military Hwy Ste 202, San Antonio, TX 78231-1895 | 2015-03-30 |
| 1437402724 | James Richard Leininger | Emergency Medicine | 18615 Tuscany Stone, Suite 200, San Antonio, TX 78258-3502 | 2012-10-24 |
| 1982966099 | Matthew Weldon Cross | Emergency Medicine | 410 E Wildwood Dr, San Antonio, TX 78212-1758 | 2012-06-13 |
| 1518238773 | Susan Lee Howle | Emergency Medicine | 7419 Wild Eagle St, San Antonio, TX 78255-1148 | 2012-01-19 |
| 1730472135 | Christina B Lumbreras | Emergency Medicine | 6263 Valley Bay Dr, San Antonio, TX 78250-5785 | 2011-05-18 |
| 1700176773 | Bryan Mathew Thomas | Emergency Medicine | 2022 Riva Ridge St, San Antonio, TX 78248-1143 | 2011-04-12 |
| Find all providers in SAN ANTONIO | ||||
| City | SAN ANTONIO |
| Zip Code | 78232 |
Please comment or provide details below to improve the information on LEADING EDGE EMERGENCY PHYSICIANS, INC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.