DR. JESSE L JURADO (NPI# 1013912740) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013912740 |
| Entity Type | Individual |
| Full Name | DR. JESSE L JURADO |
| Credential | M.D. |
| Practice Address |
3501 Executive Dr San Angelo TX 76904-6883 |
| Mailing Address |
Po Box 5780 San Angelo TX 76902-5780 |
| Practice Telephone | 3259495081 |
| Practice Fax Number | 3252244284 |
| Mailing Telephone | 3259495081 |
| Mailing Fax Number | 3252244284 |
| Enumeration Date | 2005-06-17 |
| Last Update Date | 2007-10-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RN0300X |
Internal Medicine Specialization: Nephrology |
G6535 | TX | Allopathic & Osteopathic Physicians |
| Street Address |
3501 EXECUTIVE DR |
| City | SAN ANGELO |
| State | TX |
| Zip Code | 76904-6883 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922280882 | West Texas Nephrology Associates | Internal Medicine | 3501 Executive Dr, San Angelo, TX 76904-6883 | 2007-12-03 |
| 1649397324 | Sharon K Gowing | Dietitian, Registered | 3501 Executive Dr, San Angelo, TX 76904-6883 | 2007-03-26 |
| 1609860485 | West Texas Renal Care Center Inc | Clinic/Center | 3501 Executive Dr, San Angelo, TX 76904-6883 | 2005-09-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407342702 | Mark Wandal Duncan | Specialist/Technologist | 2237 South Jackson, San Angelo, TX 76904 | 2018-07-10 |
| 1700267259 | Sheila Patterson | Nurse Practitioner | 4251 Sunset Drive, San Angelo, TX 76904 | 2015-06-10 |
| 1346649316 | Mason William Mcclintock | Dentist | 2402 College Hills Blvd. Building 1, Building 1, San Angelo, TX 76904 | 2014-08-15 |
| 1265855712 | Lynn M. Thebo, Lcsw, Pllc | Social Worker | 3109 Southwest Blvd. Ste. B, San Angelo, TX 76904 | 2014-02-03 |
| 1487077459 | Lynn Marie Thebo | Social Worker | 3109 Southwest Blvd., Ste. B, San Angelo, TX 76904 | 2014-01-28 |
| 1558646521 | John Porter Parker Jr. | Pharmacist | 3705 Threewn Trail, San Angelo, TX 76904 | 2011-10-20 |
| 1568772036 | Medical Alliance Group of Texas, LLC | Durable Medical Equipment & Medical Supplies | 2525 S Johnson Ste A, San Angelo, TX 76904 | 2010-10-18 |
| 1578796710 | Jennifer L White | Physical Therapist | 2237 S. Jackson, San Angelo, TX 76904 | 2009-09-03 |
| 1548443203 | Kelly K. Sawyer, D.d.s., P.a. | Dentist | 3013 W. Loop 306, San Angelo, TX 76904 | 2007-12-17 |
| 1023224789 | D&s Residential Services | Intermediate Care Facility, Mentally Retarded | 1706 Idaho Avenue, San Angelo, TX 76904 | 2007-05-16 |
| Find all providers in zip 76904 | ||||
| Taxonomy Code | 207RN0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Nephrology |
| An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447494562 | Angelo Nephrology Associated | Internal Medicine | 18 W College Ave, San Angelo, TX 76903-5814 | 2009-04-21 |
| 1194960708 | Adc Inc | Internal Medicine | 7573 El Camino Grande, San Angelo, TX 76904-4720 | 2008-12-10 |
| 1588646392 | Shannon Joint Ventures, Inc | Internal Medicine | 2018 Pulliam St, San Angelo, TX 76905-5148 | 2005-11-17 |
| 1205820966 | John A Stevenson | Internal Medicine | 210 E Harris Ave, San Angelo, TX 76903-5906 | 2005-09-08 |
| 1376548008 | West Texas Nephrology Associates | Internal Medicine | 136 E Concho Ave, San Angelo, TX 76903-5947 | 2005-06-17 |
| 1255696522 | Melissa Aleta | Internal Medicine | 220 E. Harris, San Angelo, TX 76903 | 2012-07-11 |
| 1225397250 | Kaushal Sondarwa | Internal Medicine | 220 E. Harris, San Angelo, TX 76903 | 2012-05-11 |
| 1184881625 | Amin Parhizgar | Internal Medicine | 120 E Harris Ave, San Angelo, TX 76903-5904 | 2008-05-21 |
| 1922280882 | West Texas Nephrology Associates | Internal Medicine | 3501 Executive Dr, San Angelo, TX 76904-6883 | 2007-12-03 |
| 1699770313 | Steve Frank Montoya Jr. | Internal Medicine | 136 E Concho Ave, San Angelo, TX 76903-5947 | 2005-06-17 |
| Find all providers in SAN ANGELO | ||||
| City | SAN ANGELO |
| Zip Code | 76904 |
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| 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.