DR. JOE R CHILDRESS (NPI# 1063401271) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063401271 |
| Entity Type | Individual |
| Full Name | DR. JOE R CHILDRESS |
| Credential | M.D. |
| Practice Address |
999 E Basse Rd Suite 100 San Antonio TX 78209-1801 |
| Mailing Address |
1210 Arion Pkwy San Antonio TX 78216-2880 |
| Practice Telephone | 2106563040 |
| Practice Fax Number | 2106566419 |
| Mailing Telephone | 2103499300 |
| Mailing Fax Number | 2103662558 |
| Enumeration Date | 2005-10-19 |
| Last Update Date | 2014-11-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | E2513 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 035640404 | 05 |
| Street Address |
999 E BASSE RD SUITE 100 |
| City | SAN ANTONIO |
| State | TX |
| Zip Code | 78209-1801 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033115647 | Fernando Trujillo | Ophthalmology | 999 E Basse Rd, Ste 103, San Antonio, TX 78209-1802 | 2005-06-28 |
| 1417308149 | 3 C Vision Specialists | Ophthalmology | 999 E Basse Rd, Suite #103, San Antonio, TX 78209-1802 | 2016-06-23 |
| 1457716052 | Kim-ly Nguyen | Pharmacist | 999 E Basse Rd, San Antonio, TX 78209-1801 | 2015-12-23 |
| 1225412992 | Angie Mariela Sage | Dentist | 999 E Basse Rd, Ste. 116, San Antonio, TX 78209-1801 | 2015-07-13 |
| 1578976312 | Angie Sage, Dds, Pllc | Dentist | 999 E Basse Rd, Suite 116, San Antonio, TX 78209-1801 | 2014-06-10 |
| 1003122763 | Christina B Crawford | Pharmacist | 999 E Basse Rd, Suite 150, San Antonio, TX 78209-1801 | 2010-08-19 |
| 1275847428 | Cinnamon Mitchell | Pharmacist | 999 E Basse Rd, San Antonio, TX 78209-1801 | 2010-07-29 |
| 1104153949 | V. Gregory Gonzaba, Md | Internal Medicine | 999 E Basse Rd, Suite # 180-420, San Antonio, TX 78209-1801 | 2009-11-16 |
| 1194850123 | David G. Shulman, M.d., P.a. | Ophthalmology | 999 E Basse Rd, Suite 127, San Antonio, TX 78209-1801 | 2007-02-22 |
| 1255320404 | Eduardo R Raez | Obstetrics & Gynecology | 999 E Basse Rd, Suite 100, San Antonio, TX 78209-1801 | 2005-10-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891346359 | Westlake Dermatology of San Antonio Pllc | Dermatology | 5500 Broadway Ave Ste R100, Alamo Heights, TX 78209 | 2019-09-26 |
| 1265086045 | Westlake Dermatology, Pa | Dermatology | 5500 Broadway Ave, Alamo Heights, TX 78209 | 2019-07-30 |
| 1194207530 | Arthur Davies | Licensed Vocational Nurse | 8700 Crownhill Blvd #300, San Antonio, TX 78209 | 2018-09-01 |
| 1538649462 | Jessica Michelle Moore | Licensed Vocational Nurse | 8400 Crown Hill Blvd, San Antonio, TX 78209 | 2018-08-20 |
| 1871072645 | Olawunmi Olapeju Odele | Licensed Vocational Nurse | 8700 Crownhill Blvd. Ste.300, San Antonio, TX 78209 | 2018-08-12 |
| 1265921126 | Ashley L Garcia | Physician Assistant | 414 W Sunset Rd Ste 205, San Antonio, TX 78209 | 2018-05-07 |
| 1083117428 | New Choices Treatment Center LLC | Substance Abuse Rehabilitation Facility | 3050 Eisenhauer Rd Apt 501, San Antonio, TX 78209 | 2018-03-12 |
| 1629570106 | Julieta Rubio Hobbs | Counselor | 4301 Broadway St. 438, San Antonio, TX 78209 | 2018-03-01 |
| 1326550187 | Shannon Lee Crowley | Occupational Therapy Assistant | 403 Irvington Dr, San Antonio, TX 78209 | 2017-11-01 |
| 1932627007 | Juanita De Luna Salazar | Physical Therapist | 1635 Ne Interstate 410 Loop, #600, San Antonio, TX 78209 | 2017-09-08 |
| Find all providers in zip 78209 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457972721 | Brynna Lynch | Obstetrics & Gynecology | 11212 State Highway 151 Ste 120, San Antonio, TX 78251-4498 | 2020-04-28 |
| 1174091458 | Community Birth Group | Obstetrics & Gynecology | 216 Tower Rd, San Antonio, TX 78223-6018 | 2018-11-05 |
| 1982184370 | Sarah Lewis | Obstetrics & Gynecology | 502 Madison Oak Dr Ste 440, San Antonio, TX 78258-4189 | 2018-08-15 |
| 1023463981 | Viviana Salom Ellis | Obstetrics & Gynecology | 4458 Medical Center Drive, Suite 705, San Antonio, TX 78229 | 2016-04-28 |
| 1073967642 | Erika Price | Obstetrics & Gynecology | 7711 Louis Pasteur Dr Ste 808, San Antonio, TX 78229-3412 | 2016-04-20 |
| 1639537137 | Alexander Golab | Obstetrics & Gynecology | 3518 Puesta De Sol, San Antonio, TX 78261-2415 | 2016-01-29 |
| 1699157495 | Samantha Gonzalez | Obstetrics & Gynecology | 7430 Barlite Blvd Ste 105, San Antonio, TX 78224 | 2015-06-29 |
| 1457746232 | Amy Johnson Gonzales | Obstetrics & Gynecology | 11212 State Highway 151 Medical Plaza 2, Suite 350, San Antonio, TX 78251 | 2015-03-30 |
| 1043601206 | Abraham A Alecozay Md Pa Phd | Obstetrics & Gynecology | 7430 Barlite Suite 105, San Antonio, TX 78224 | 2015-02-10 |
| 1003228776 | Stephanie Schaefer | Obstetrics & Gynecology | 525 Oak Centre Dr Ste 300, San Antonio, TX 78258-3916 | 2014-05-28 |
| Find all providers in SAN ANTONIO | ||||
| City | SAN ANTONIO |
| Zip Code | 78209 |
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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.