IRA JOHN (NPI# 1114535549) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114535549 |
| Entity Type | Individual |
| Full Name | IRA JOHN |
| Credential | APRN |
| Practice Address |
16620 San Pedro Ave Ste 300 San Antonio TX 78232-2679 |
| Mailing Address |
6730 Alan Hale St San Antonio TX 78240-2401 |
| Practice Telephone | 2103091405 |
| Mailing Telephone | 4847257143 |
| Enumeration Date | 2020-07-22 |
| Last Update Date | 2020-07-22 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
AP145287 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
16620 SAN PEDRO AVE STE 300 |
| City | SAN ANTONIO |
| State | TX |
| Zip Code | 78232-2679 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740433069 | Kristine A Bernardo | Internal Medicine | 16620 San Pedro Ave Ste 300, San Antonio, TX 78232-2679 | 2008-10-30 |
| 1346849494 | Bryan Michael Coonan | Nurse Practitioner | 16620 San Pedro Ave Ste 300, San Antonio, TX 78232-2679 | 2020-10-20 |
| 1275141244 | Marla Sanchez | Nurse Practitioner | 16620 San Pedro Ave Ste 300, San Antonio, TX 78232-2679 | 2020-07-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295371334 | Rachelle Renee Morales | Counselor | 620 W Afton Oaks Blvd, San Antonio, TX 78232 | 2019-11-25 |
| 1508328360 | Ruene Anne Villalobos | Licensed Vocational Nurse | North Loop 1604 E #350, San Antonio, TX 78232 | 2019-04-02 |
| 1063908671 | Steven C. Albright Dds, Pa | Oral & Maxillofacial Surgery | 15600 San Pedro Ave Ste 107, San Antonio, TX 78232 | 2018-07-06 |
| 1437666583 | Jennifer Harris | Physician Assistant | 1380 Pantheon Way Ste 310, San Antonio, TX 78232 | 2018-01-10 |
| 1003334616 | Third Space Counseling and Consultation, Pllc | Counselor | 1380 Pantheon Way Suite 245, San Antonio, TX 78232 | 2017-09-03 |
| 1336678135 | Gregory Arellanes | Specialist/Technologist, Other | 1141 N Loop 1604 E #105-612, San Antonio, TX 78232 | 2017-06-06 |
| 1528437811 | Jonathan Hodge | Specialist/Technologist, Other | 1141 E Loop 1604, Suite 105, San Antonio, TX 78232 | 2015-09-17 |
| 1356726376 | Shawn Grubbs | Spec/Tech, Cardiovascular | 16620 Us Hwy 281n, Suite 300, San Antonio, TX 78232 | 2015-07-21 |
| 1336522051 | Comprehensive Neuromonitoring Pllc | Psychiatry & Neurology | 1411 N Loop 1064 E 105-612, San Antonio, TX 78232 | 2015-06-30 |
| 1841690526 | Janet Porter | Registered Nurse | 15909 San Pedro Ave Ste 204, San Antonio, TX 78232 | 2014-08-29 |
| Find all providers in zip 78232 | ||||
| Taxonomy Code | 363LA2100X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Acute Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235737941 | Barton Skinner | Nurse Practitioner | 17806 W I-10, Suite 300, San Antonio, TX 78257 | 2020-10-14 |
| 1063053072 | Blas Edward Villa | Nurse Practitioner | 7703 Floyd Curl Drive Mc 7885 Pulmonary Diseases & Crit, Medicine, San Antonio, TX 78229 | 2019-10-01 |
| 1427619675 | Divina G Buccellato | Nurse Practitioner | 3070 Colorado Cv, San Antonio, TX 78253-6294 | 2019-06-27 |
| 1194298844 | Taylor Phillips Johnson | Nurse Practitioner | 805 W Woodlawn Ave, San Antonio, TX 78212-3355 | 2019-01-05 |
| 1568947505 | Zachary Taliaferro | Nurse Practitioner | 4204 Gardendale St Ste 312, San Antonio, TX 78229-3141 | 2018-09-25 |
| 1891292181 | Amy Michelle Olvera | Nurse Practitioner | 225 E Sonterra Blvd Ste 201, San Antonio, TX 78258 | 2018-04-12 |
| 1114429982 | Neil Vito Loma Dolotina | Nurse Practitioner | 10455 Horn Blvd, San Antonio, TX 78240-2590 | 2018-03-07 |
| 1386156776 | Connie Cortina Reyes | Nurse Practitioner | 14510 Triple Crown Ln, San Antonio, TX 78248-2502 | 2017-10-25 |
| 1407381056 | Amanda Ann Rodriguez | Nurse Practitioner | 9140 Timber Path Apt 3002, San Antonio, TX 78250-7602 | 2017-04-20 |
| 1255883799 | Esteban Salas Aguirre Jr. | Nurse Practitioner | 10439 Royal Est, San Antonio, TX 78245-3195 | 2016-11-01 |
| Find all providers in SAN ANTONIO | ||||
| City | SAN ANTONIO |
| Zip Code | 78232 |
Please comment or provide details below to improve the information on IRA JOHN.
| 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.