KELLUM PHYSICIAN PARTNERS, PA (NPI# 1073880092) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073880092 |
| Entity Type | Organization |
| Organization Name | KELLUM PHYSICIAN PARTNERS, PA |
| Practice Address |
3903 Wiseman Blvd Suite 215 San Antonio TX 78251-4401 |
| Mailing Address |
8870 Us Highway 87 E San Antonio TX 78263-2242 |
| Practice Telephone | 2106756724 |
| Practice Fax Number | 2106751759 |
| Mailing Telephone | 2106480152 |
| Mailing Fax Number | 2106494170 |
| Enumeration Date | 2011-11-18 |
| Last Update Date | 2015-04-07 |
| Authorized Official Name | DANIEL HANSFORD KELLUM JR. (PRESIDENT) |
| Authorized Official Telephone | 2109452121 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | J1533 | TX | Allopathic & Osteopathic Physicians |
| Y | 207V00000X | Obstetrics & Gynecology | J0844 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 3009748-01 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215363544 | Kellum Physician Partners, Pa | Physician Assistant | 8870 Us Highway 87 E, San Antonio, TX 78263-2242 | 2013-09-18 |
| Street Address |
3903 WISEMAN BLVD SUITE 215 |
| City | SAN ANTONIO |
| State | TX |
| Zip Code | 78251-4401 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174518633 | Sanjay Kumar | Internal Medicine | 3903 Wiseman Blvd, Ste 100, San Antonio, TX 78251-4401 | 2005-09-12 |
| 1679929756 | Angie Ayers | Pharmacist | 3903 Wiseman Blvd, Ste 313, San Antonio, TX 78251-4401 | 2016-05-09 |
| 1427466531 | Tranquility Tms Center Pllc | Psychiatry & Neurology | 3903 Wiseman Blvd, Suite 211, San Antonio, TX 78251-4401 | 2014-08-01 |
| 1780015719 | Rheumatology Associates of South Texas, Pllc | Internal Medicine | 3903 Wiseman Blvd, Ste 221, San Antonio, TX 78251-4401 | 2013-12-02 |
| 1992137350 | Livingwell Family Psychiatric Services | Nurse Practitioner | 3903 Wiseman Blvd, Ste 211, San Antonio, TX 78251-4401 | 2013-08-07 |
| 1972847176 | Jennifer S. Hughes | Nurse Practitioner | 3903 Wiseman Blvd, Ste 211, San Antonio, TX 78251-4401 | 2012-11-12 |
| 1578830543 | Spine & Pain Center of San Antonio | Clinic/Center | 3903 Wiseman Blvd, 311, San Antonio, TX 78251-4401 | 2011-11-18 |
| 1053600155 | Fortitude Psychotherapy | Counselor | 3903 Wiseman Blvd, Ste #211, San Antonio, TX 78251-4401 | 2011-03-30 |
| 1316267594 | Christine Teresa Van Ramshorst | Obstetrics & Gynecology | 3903 Wiseman Blvd, Ste. 300, San Antonio, TX 78251-4401 | 2010-06-10 |
| 1396971255 | Molly Dudley Shields | Obstetrics & Gynecology | 3903 Wiseman Blvd, Suite # 215, San Antonio, TX 78251-4417 | 2009-06-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255930558 | Iyobosasere Ighoroje | Nurse Practitioner | 11212 Tx - 151, San Antonio, TX 78251 | 2020-10-19 |
| 1528679933 | Michael Medina | Registered Nurse | 1224 Leonard Hunt, San Antonio, TX 78251 | 2020-08-11 |
| 1528676053 | Calm Spring Dental | Clinic/Center | 11034 W Military Drive, Suite 104, San Antonio, TX 78251 | 2020-07-21 |
| 1659917169 | Brianna Ashly Garcia | Behavioral Analyst | 3002 Culebra Rd, 105, San Antonio, TX 78251 | 2019-11-19 |
| 1245892751 | Rodolfo Eloy Zapata | Behavior Technician | 9032 Dugas Rd Apt 118, San Antonio, TX 78251 | 2019-07-03 |
| 1174188718 | Kesar Family Pllc | Internal Medicine | 3303 Rodgers Road, Suite 250, San Antonio, TX 78251 | 2019-05-09 |
| 1730657313 | Culebra Meadows Dental Partners Pllc | Dentist | 7895 Culebra Rd., San Antonio, TX 78251 | 2018-11-13 |
| 1720563299 | San Juanita Villanueva | Specialist/Technologist | 10618 Cat Mountain, San Antonio, TX 78251 | 2018-10-01 |
| 1316421506 | Westover Hills Primary Care | Family Medicine | 9022 Culebra Rd, Ste 112, San Antonio, TX 78251 | 2018-09-24 |
| 1649750894 | Alejandro Rodriguez Flores | Physical Therapy Assistant | 9922 Tx-151, San Antonio, TX 78251 | 2018-08-17 |
| Find all providers in zip 78251 | ||||
| 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 | 78251 |
Please comment or provide details below to improve the information on KELLUM PHYSICIAN PARTNERS, PA.
| 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.