GASTROENTEROLOGY CLINIC OF SAN ANTONIO, P.A. (NPI# 1053490631) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053490631 |
| Entity Type | Organization |
| Organization Name | GASTROENTEROLOGY CLINIC OF SAN ANTONIO, P.A. |
| Practice Address |
8550 Datapoint Dr Suite 200 San Antonio TX 78229-3270 |
| Practice Telephone | 2106158308 |
| Practice Fax Number | 2106158313 |
| Mailing Telephone | 2106158308 |
| Mailing Fax Number | 2106158313 |
| Enumeration Date | 2006-11-03 |
| Last Update Date | 2015-10-29 |
| Authorized Official Name | RUSSELL HAVRANEK (CEO) |
| Authorized Official Telephone | 2106158308 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | MEDICARE PTAN | 00BL45 | 01 |
| TX | 044080201 | 05 |
| Street Address |
8550 DATAPOINT DR SUITE 200 |
| City | SAN ANTONIO |
| State | TX |
| Zip Code | 78229-3270 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124091079 | Gary Scott Gossen | Internal Medicine | 8550 Datapoint Dr, Suite 200, San Antonio, TX 78229-3270 | 2006-02-10 |
| 1093271546 | Deanna May | Nurse Practitioner | 8550 Datapoint Dr, San Antonio, TX 78229-3270 | 2019-02-20 |
| 1023301488 | Uap San Antonio Endo, LLC | Nurse Anesthetist, Certified Registered | 8550 Datapoint Dr, Suite 100, San Antonio, TX 78229-3270 | 2011-05-18 |
| 1174843726 | Nicholas Perez Martinez | Internal Medicine | 8550 Datapoint Dr, Suite 200, San Antonio, TX 78229-3270 | 2010-06-06 |
| 1285896613 | Cynthia Diane Alexander | Occupational Therapist | 8550 Datapoint Dr, Suite 110, San Antonio, TX 78229-3270 | 2008-06-26 |
| 1811042096 | Hand and Microsurgery | Surgery | 8550 Datapoint Dr, Suite 110, San Antonio, TX 78229-3270 | 2007-01-25 |
| 1871672519 | Russell Dean Havranek | Internal Medicine | 8550 Datapoint Dr, Suite 200, San Antonio, TX 78229-3270 | 2006-11-03 |
| 1760561492 | David L Stump | Internal Medicine | 8550 Datapoint Dr, Suite 200, San Antonio, TX 78229-3270 | 2006-11-03 |
| 1245319995 | Victor Franz Zurita | Internal Medicine | 8550 Datapoint Dr, Suite 200, San Antonio, TX 78229-3270 | 2006-11-03 |
| 1295814952 | Charles W Randall | Internal Medicine | 8550 Datapoint Dr, Suite 200, San Antonio, TX 78229-3270 | 2006-11-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245857226 | Lyndsey A Sandoval | Optometrist | 7400 Minton Miner St, San Antonio, TX 78229 | 2020-06-25 |
| 1295355311 | Nicolet Finger | Student in an Organized Health Care Education/Training Program | 7703 Floyd Curl Drive, Mc 7798, San Antonio, TX 78229 | 2020-04-18 |
| 1215557400 | Amy Elizabeth Werry | Clinical Neuropsychologist | 7703 Floyd Circle Drive, San Antonio, TX 78229 | 2020-04-17 |
| 1740822972 | Mohammad Safaie Yazdi | Student in an Organized Health Care Education/Training Program | Ut Health Science Center At San Antonio- Agdc, 8210 Floyd Curl Dr., Msc 8103, San Antonio, TX 78229 | 2019-10-09 |
| 1063053072 | Blas Edward Villa | Nurse Practitioner | 7703 Floyd Curl Drive Mc 7885 Pulmonary Diseases & Crit, Medicine, San Antonio, TX 78229 | 2019-10-01 |
| 1124673942 | Integrity Dme Services LLC | Durable Medical Equipment & Medical Supplies | 6323 Sovereign Dr, Suite # 170 Ab, San Antonio, TX 78229 | 2019-08-08 |
| 1730734120 | Marisa Erin Leyden | Speech-Language Pathologist | Joe R. & Teresa Lozano Long Campus, 7703 Floyd Curl Dr., San Antonio, TX 78229 | 2019-08-03 |
| 1285295741 | Alireza Ghezavati | Student in an Organized Health Care Education/Training Program | 7703 Floyd Curl Drive Mc 7750, Department of Pathology and Laboratory Medicine, San Antonio, TX 78229 | 2019-06-25 |
| 1407410285 | Denae Cheyenne Rushing | Student in an Organized Health Care Education/Training Program | 8201 Floyd Curl Drive, San Antonio, TX 78229 | 2019-04-26 |
| 1265993570 | Shehzad Amlani | Student in an Organized Health Care Education/Training Program | Address: 7703 Floyd Curl Dr, San Antonio, TX 78229 | 2019-03-28 |
| Find all providers in zip 78229 | ||||
| Taxonomy Code | 207RG0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Gastroenterology |
| An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. |
| 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 |
|---|---|---|---|---|
| 1174188718 | Kesar Family Pllc | Internal Medicine | 3303 Rodgers Road, Suite 250, San Antonio, TX 78251 | 2019-05-09 |
| 1740611177 | Christie L Mannino | Internal Medicine | 19284 Stone Oak Pkwy Ste 102, San Antonio, TX 78258-3474 | 2013-12-11 |
| 1457549032 | Desh Bandhu Sharma | Internal Medicine | 3303 Rodgers Rd, Suite 250, San Antonio, TX 78251 | 2007-10-09 |
| 1912082355 | Joycelyn Marie Theard | Internal Medicine | 3338 Oak Well Ct, # 205, San Antonio, TX 78218 | 2006-10-26 |
| 1548350598 | Seema A Dar | Internal Medicine | 19284 Stone Oak Pkwy, Suite 102, San Antonio, TX 78258-3473 | 2006-10-13 |
| 1942390901 | Seema A Dar, Md Pa | Internal Medicine | 19284 Stone Oak Parkway, Suite 102, San Antonio, TX 78258-3474 | 2006-10-13 |
| 1275631525 | Komaranahalli P. Ganeshappa | Internal Medicine | 621 Camden Street, San Antonio, TX 78215-1639 | 2006-09-20 |
| 1174551766 | Fred F Poordad | Internal Medicine | 607 Camden St Ste 108, San Antonio, TX 78215 | 2006-06-30 |
| 1396799847 | Maria Rita Lepe Suastegui | Internal Medicine | 607 Camden St, Suite 101, San Antonio, TX 78215 | 2006-05-20 |
| 1558328302 | Victor S Ostrower | Internal Medicine | 8201 Ewing Halsell Dr, 2nd Flr., San Antonio, TX 78229-3707 | 2006-04-26 |
| Find all providers in SAN ANTONIO | ||||
| City | SAN ANTONIO |
| Zip Code | 78229 |
Please comment or provide details below to improve the information on GASTROENTEROLOGY CLINIC OF SAN ANTONIO, P.A..
| 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.