MR. SERGIO ENRIQUE VENEGAS (NPI# 1083886006) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083886006 |
| Entity Type | Individual |
| Full Name | MR. SERGIO ENRIQUE VENEGAS |
| Credential | PA |
| Practice Address |
3851 Roger Brooke Dr Fort Sam Houston San Antonio TX 78234-4501 |
| Mailing Address |
3851 Roger Brooke Drive Fort Sam Houston San Antonio TX 78234 |
| Practice Telephone | 5125818828 |
| Mailing Telephone | 5125818828 |
| Enumeration Date | 2008-03-31 |
| Last Update Date | 2008-03-31 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA02896 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
3851 ROGER BROOKE DR FORT SAM HOUSTON |
| City | SAN ANTONIO |
| State | TX |
| Zip Code | 78234-4501 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952747131 | Andrew Joseph Gausepohl | Emergency Medicine | 3851 Roger Brooke Dr, San Antonio, TX 78234-4501 | 2013-05-15 |
| 1306280227 | Amelia Lea Wilson | Occupational Therapist | 3851 Roger Brooke Dr, Brooke Army Medical Center, Fort Sam Houston, San Antonio, TX 78234-4501 | 2013-04-22 |
| 1588903488 | Paula Balderston | Social Worker | 3851 Roger Brooke Dr, San Antonio, TX 78234-4501 | 2013-02-12 |
| 1912279506 | Mark Steven Barrows | Nurse Anesthetist, Certified Registered | 3851 Roger Brooke Dr, San Antonio, TX 78234 | 2012-01-30 |
| 1588958615 | Marisa Rachel Gossweiler | Radiology | 3851 Roger Brooke Dr, San Antonio, TX 78234-4501 | 2011-06-07 |
| 1447558416 | Carlos Armando Mota | General Practice | 3851 Roger Brooke Dr, Fort Sam Houston, San Antonio, TX 78234-4501 | 2011-03-01 |
| 1457664922 | Edwin Gandia | Student in an Organized Health Care Education/Training Program | 3851 Roger Brooke Dr, Mche-qd, San Antonio, TX 78234-4501 | 2010-07-26 |
| 1467773556 | Steven Gremel Schauer | Emergency Medicine | 3851 Roger Brooke Dr, Department of Emergency Medicine, San Antonio, TX 78234-4501 | 2010-06-13 |
| 1831416197 | Charles Calais | Internal Medicine | 3851 Roger Brooke Dr, San Antonio, TX 78234-4501 | 2010-04-27 |
| 1649597113 | Bradley A Reel | Anesthesiology | 3851 Roger Brooke Dr, San Antonio, TX 78234-4501 | 2010-04-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255942884 | Thomas Ballas | Student in an Organized Health Care Education/Training Program | 3551 Roger Brooke Drive Jbsa-fort Sam Houston, Department of Behavioral Medicine-mche-dbm, San Antonio, TX 78234 | 2020-08-17 |
| 1124657366 | Wendy Harris | Pharmacist | 3041 Garden Ave, Fort Sam Houston, TX 78234 | 2020-04-08 |
| 1215564729 | Travis Frantz | Student in an Organized Health Care Education/Training Program | 3551 Rodger Brooke Drive, Jbsa Fort Sam Houston, TX 78234 | 2020-03-25 |
| 1508492695 | Matthew Grossmann | Student in an Organized Health Care Education/Training Program | San Antonio Military Medical Center, Mche-zdm-m, Internal Medicine Residency, 3551 Roger Brooke Dr., Jbsa-fort Sam Houston, TX 78234 | 2020-03-20 |
| 1235793407 | Jessica Maria May Franklin | Student in an Organized Health Care Education/Training Program | 3551 Roger Brooke Drive Jbsa Fort Sam Houston, San Antonio, TX 78234 | 2019-04-23 |
| 1730663477 | Glen Snyder | Military Health Care Provider | 3488 Garden Ave Anderson Hall, Fort Sam Houston, San Antonio, TX 78234 | 2018-09-19 |
| 1265919336 | Ashley Elizabeth Malawey | Military Health Care Provider | 3222 Cpl Johnson Road, San Antonio, TX 78234 | 2018-07-23 |
| 1053805515 | Rene Espinosa | Social Worker | San Antonio Medical Center, 3551 Roger Brooke Dr, Jbsa, TX 78234 | 2018-06-19 |
| 1235622333 | Melanie Edith Rivera | Military Health Care Provider | 3600 Roger Brooke Drive, San Antonio, TX 78234 | 2018-06-13 |
| 1063909158 | Benjamin Walker Appelo | General Practice | San Antonio Mil Med Center 3551 Roger Brooke Dr, Mche-zdm-m, San Antonio, TX 78234 | 2018-04-16 |
| Find all providers in zip 78234 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447866298 | Diana P Olivares | Physician Assistant | 8920 Quihi Way, San Antonio, TX 78254-1901 | 2020-09-17 |
| 1740893445 | Mcrm Assist, Pllc | Physician Assistant | 14546 Brook Hollow Blvd # 417, San Antonio, TX 78232-3810 | 2020-08-24 |
| 1508476086 | Matthew Gaines | Physician Assistant | 2626 Bluff Xing, San Antonio, TX 78244-1000 | 2020-08-09 |
| 1235757519 | Joseph Dominic Wechsler Jr. | Physician Assistant | 9114 Autumn Skies, San Antonio, TX 78254-1929 | 2020-07-13 |
| 1396368015 | Maureen Genov | Physician Assistant | 540 Madison Oak Dr Ste 450, San Antonio, TX 78258-3932 | 2020-05-28 |
| 1386266062 | Sun Assist, Pllc | Physician Assistant | 10650 Culebra Rd # 104-484, San Antonio, TX 78251-4949 | 2020-05-15 |
| 1134758964 | Mark Lee Nentwig | Physician Assistant | 1434 E Sonterra Blvd Ste 206, San Antonio, TX 78258-4973 | 2020-04-03 |
| 1962034694 | Christina L Russell | Physician Assistant | 525 Oak Centre Dr Ste 100, San Antonio, TX 78258-3916 | 2020-02-11 |
| 1265071203 | Caralyne Sandquist | Physician Assistant | 5510 Presidio Parkway, Building #2 Suite 2401, San Antonio, TX 78249 | 2019-12-21 |
| 1447808498 | Elizabeth Ann Blair | Physician Assistant | 24623 Birdie Rdg, San Antonio, TX 78260-7847 | 2019-09-03 |
| Find all providers in SAN ANTONIO | ||||
| City | SAN ANTONIO |
| Zip Code | 78234 |
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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.