MCKENNA MEDICAL GROUP (NPI# 1033245923) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033245923 |
| Entity Type | Organization |
| Organization Name | MCKENNA MEDICAL GROUP |
| Other Organization Name | LAKEVIEW CLINIC |
| Practice Address |
921 Lakeview Blvd New Braunfels TX 78130-4135 |
| Practice Telephone | 2106207744 |
| Mailing Telephone | 2106207744 |
| Enumeration Date | 2007-02-26 |
| Last Update Date | 2008-05-12 |
| Authorized Official Name | MRS. WENDY BRUNS (V.P. PHYSICIAN SERVICES) |
| Authorized Official Telephone | 8306069111 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | PTAN | OOY940 | 01 |
| TX | NON-PROFIT HEALTH ORGANIZ | 524221 | 01 |
| Other Name | Type Code |
|---|---|
| LAKEVIEW CLINIC | Other Name - Individual/Organization |
| Street Address |
921 LAKEVIEW BLVD |
| City | NEW BRAUNFELS |
| State | TX |
| Zip Code | 78130-4135 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720053739 | Guido Calderon | Internal Medicine | 921 Lakeview Blvd, Suite 200, New Braunfels, TX 78130-4135 | 2006-02-22 |
| 1366078909 | Madelyn Alyssa Woods | Physician Assistant | 921 Lakeview Blvd, New Braunfels, TX 78130-4135 | 2020-03-16 |
| 1457760480 | Abigail Marie Laney | Clinical Nurse Specialist | 921 Lakeview Blvd, Suite 200, New Braunfels, TX 78130-4135 | 2014-08-04 |
| 1467758003 | Allison Marie Stewart | Psychologist | 921 Lakeview Blvd, Suite 200, New Braunfels, TX 78130-4135 | 2011-01-30 |
| 1346471034 | Sarah Malins Barry | Clinical Nurse Specialist | 921 Lakeview Blvd, Suite 200, New Braunfels, TX 78130-4135 | 2009-07-29 |
| 1598903080 | Jeanette E Naschke | Physician Assistant | 921 Lakeview Blvd, New Braunfels, TX 78130-4135 | 2009-01-22 |
| 1538318969 | Nancy Seman Lough | Nurse Practitioner | 921 Lakeview Blvd, Suite 200, New Braunfels, TX 78130-4135 | 2008-09-10 |
| 1730361635 | Angela Nolen | Physician Assistant | 921 Lakeview Blvd, New Braunfels, TX 78130-4135 | 2007-12-03 |
| 1881813806 | Kellcy Medical Group, P.a. | Pediatrics | 921 Lakeview Blvd, New Braunfels, TX 78130 | 2007-04-25 |
| 1134260698 | Beverly Burnett Nuckols | Family Medicine | 921 Lakeview Blvd, New Braunfels, TX 78130-4135 | 2007-02-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841827102 | Madison Johnson | Licensed Vocational Nurse | 3127 Doulglas Fir Dr, New Braunfels, TX 78130 | 2020-03-26 |
| 1558997734 | Children's Dental Ranch of New Braunfels, Pllc | Dentist | 1187 West County Line Rd, Suite 11b, New Braunfels, TX 78130 | 2020-03-19 |
| 1114559432 | Guadalupe Regional Medical Group | Clinic/Center | 1761 S. State Hwy 46, Suite 104, New Braunfels, TX 78130 | 2020-02-05 |
| 1164052536 | Talia Louise Risinger | Specialist/Technologist | 2551 337-loop 337, New Braunfels, TX 78130 | 2020-01-24 |
| 1255971099 | Next Level Orthodontics, Pllc | Dentist | 2084 Central Plaza, Ste 102, New Braunfels, TX 78130 | 2020-01-09 |
| 1568008613 | Carol Abel | Chiropractor | 931 N Ih35 Business, Suite 200, New Braunfels, TX 78130 | 2019-11-25 |
| 1245872910 | Tyler Vassar | Behavior Technician | 475 Oxford Dr. Ste. 104, New Braunfels, TX 78130 | 2019-10-14 |
| 1528617735 | Alexis Ellis | Licensed Practical Nurse | 2619 Pahmeyer Rd, New Braunfels, TX 78130 | 2019-09-10 |
| 1144790718 | Jamie Lynn Taylor | Counselor | 1414 W. San Antonio St, New Braunfels, TX 78130 | 2018-11-27 |
| 1417422270 | Ace Dental09 Pllc | Dentist | 1671 N. Ih 35, Ste 300, New Braunfels, TX 78130 | 2018-10-09 |
| Find all providers in zip 78130 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063032456 | Seacole Labs | Clinic/Center | 614 S Business Ih 35 Ste C17, New Braunfels, TX 78130-4741 | 2020-04-25 |
| 1942464334 | Kerrville Mec, Lp | Clinic/Center | 280 N Business 35, Ste 300, New Braunfels, TX 78130-7807 | 2008-07-15 |
| 1750744736 | Patricia T. Mossburg Md, Pllc | Clinic/Center | 221 Hunters Vlg, Suite B, New Braunfels, TX 78132-4815 | 2016-03-29 |
| 1457741761 | South Texas Ocd Clinic | Clinic/Center | 262 N Union Ave, New Braunfels, TX 78130-4450 | 2015-01-26 |
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| 1093328981 | Caspian Medical Services | Clinic/Center | 10710 Kuykendahl Rd Ste 150, The Woodlands, TX 77381-2695 | 2020-08-28 |
| 1992318885 | Integra Assessments | Clinic/Center | 10710 Kuykendahl Rd Ste 175, The Woodlands, TX 77381-2695 | 2020-08-28 |
| 1912517426 | Med Cure Clinic | Clinic/Center | 102703 Alief Clodine Rd, Houston, TX 77082 | 2020-08-10 |
| 1538779145 | Family Choice Clinic, Inc. | Clinic/Center | 12808 W Airport Blvd Ste 260f, Sugar Land, TX 77478-6238 | 2020-08-07 |
| Find all providers with the same taxonomy | ||||
| City | NEW BRAUNFELS |
| Zip Code | 78130 |
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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.