MS. MARY CATHERINE GRACE (NPI# 1134126824) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1134126824 |
Entity Type | Individual |
Full Name | MS. MARY CATHERINE GRACE |
Credential | PA |
Practice Address |
2455 Ne Loop 410 Ste 100 San Antonio TX 78217-5649 |
Practice Telephone | 2105996000 |
Practice Fax Number | 2106575586 |
Mailing Telephone | 2105996000 |
Mailing Fax Number | 2106575586 |
Enumeration Date | 2005-07-07 |
Last Update Date | 2016-10-17 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA00293 | TX | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
WELLMED MEDICAL GROUP PA | TXB159554 | 01 | |
TX | WELLMED MEDICAID | 312816701 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1942556220 | Mary Teresa Grace | Nurse Practitioner | 817 Maiden Choice Ln Ste 350, Catonsville, MD 21228-3692 | 2012-07-24 |
1740746957 | Mary Grace | Social Worker | 1203 Memorial Blvd Ste E, Murfreesboro, TN 37129 | 2019-02-12 |
1679055214 | Mary Kathryn Grace | Physical Therapist | 281 Main St, Reading, MA 01867-3603 | 2018-08-30 |
1538328133 | Mary Grace | Dietitian, Registered | 155 Lawn Ave, Buffalo, NY 14207-1816 | 2008-06-09 |
1215048541 | Mary E Grace | Pediatrics | 5301 F St, #220, Sacramento, CA 95819-3226 | 2006-08-31 |
1033139142 | Mary P Grace | Social Worker | 31 Thurber Dr, Waterloo, NY 13165-1600 | 2006-07-20 |
1982660650 | Mary Catherine Grace | Social Worker | 1100 Meade St, Dunmore, PA 18512-3169 | 2006-04-21 |
Street Address |
2455 NE LOOP 410 STE 100 |
City | SAN ANTONIO |
State | TX |
Zip Code | 78217-5649 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1811994056 | Valentin George Salcher | Family Medicine | 2455 Ne Loop 410, Ste 100, San Antonio, TX 78217-5649 | 2005-07-01 |
1649510215 | South Texas Pain Specialists, Pa | Physical Medicine & Rehabilitation | 2455 Ne Loop 410, Suite 249, San Antonio, TX 78217-5649 | 2013-02-19 |
1811283179 | Sleep Therapy & Research Center | Physiological Laboratory | 2455 Ne Loop 410, Suite 150, San Antonio, TX 78217-5649 | 2011-06-24 |
1356644561 | Richard J Gong, Md Pa | Surgery | 2455 Ne Loop 410, Suite 245, San Antonio, TX 78217-5649 | 2010-12-09 |
1427227958 | Shyam Purswani, M.d. P.a. | Pain Medicine | 2455 Ne Loop 410, Suite 101, San Antonio, TX 78217-5649 | 2008-02-28 |
1932307733 | Alamo Area Heart Rhythm Consultants, Pllc | Internal Medicine | 2455 Ne Loop 410, Suite 242, San Antonio, TX 78217-5649 | 2007-07-03 |
1184742041 | Avanindra Jain, M.d.p.a. | Specialist | 2455 Ne Loop 410, Suite 235, San Antonio, TX 78217-5649 | 2007-03-27 |
1821160938 | Thilina Praneethbogategedara Marasinghe | Internal Medicine | 2455 Ne Loop 410, Suite 100, San Antonio, TX 78217-5649 | 2006-11-14 |
1346279189 | Richard John Gong | Surgery | 2455 Ne Loop 410, Ste 245, San Antonio, TX 78217 | 2006-07-02 |
1982656534 | Avanindra Jain | Specialist | 2455 Ne Loop 410, Suite Number 235, San Antonio, TX 78217-5649 | 2006-05-16 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1699390278 | Nadia Sanchez De Ramos | Counselor | 10615 Perrin Veitle, Ste. 402, San Antonio, TX 78217 | 2020-06-10 |
1104455518 | Lamonica Shantae Armond | Counselor | 4035 Narco Perrin Blvd Ste 2030, San Antonio, TX 78217 | 2020-04-07 |
1487282414 | Debra Pitts | Counselor | 10605 Perrin Beitel Rd, Suite 801, San Antonio, TX 78217 | 2020-03-27 |
1083241129 | Jena Lalley | Nurse Practitioner | 8723 Botts Lane, San Antonio, TX 78217 | 2020-03-26 |
1699307173 | Kingdom Outreach Center of San Antonio, Tx | Counselor | Kingdom Out Reach Center of San Antonio, 3819 Naco Perrin Blvd #118, San Antonio, TX 78217 | 2020-02-12 |
1881224277 | Tinyada Robinson | Recreation Therapist | 1777 Ne Interstate 410 Loop, Ste 1009, San Antonio, TX 78217 | 2020-01-24 |
1255996815 | Chelsey Lynn Guy | Dental Hygienist | 10231 Kotzebue St., San Antonio, TX 78217 | 2019-05-08 |
1972069144 | Emma Getic | Behavioral Analyst | 2391 Ne Interstate 410 Loop, Suite #304, San Antonio, TX 78217 | 2019-02-13 |
1487133781 | Rebecca Rendon | Registered Nurse | 8610 N. New Braunfels Ave, Ste. 405, San Antonio, TX 78217 | 2018-08-08 |
1326526922 | Charlene Michelle Turner | Registered Nurse | 8620 N New Braunfels Ave, #700, San Antonio, TX 78217 | 2018-08-06 |
Find all providers in zip 78217 |
Taxonomy Code | 363AM0700X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Medical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1245870930 | Jessica Grimaldo | Physician Assistant | 1200 Brooklyn Ave Ste 230, San Antonio, TX 78212-0010 | 2020-01-09 |
1194210658 | 5 Star Integrity Healthcare, LLC | Physician Assistant | 1300 West Ave Ste 201, San Antonio, TX 78201-3501 | 2018-06-27 |
1245750512 | William S Beall Jr. | Physician Assistant | 230 E Travis St, San Antonio, TX 78205-1702 | 2017-06-27 |
1114473808 | Devon H. Durand | Physician Assistant | 7950 Floyd Curl Dr Ste 805, San Antonio, TX 78229-3926 | 2016-09-01 |
1538533104 | Dara Danielle Valdez | Physician Assistant | 2040 Babcock Rd Ste 301, San Antonio, TX 78229-4428 | 2015-11-19 |
1720458870 | Thomas Alan Espinoza | Physician Assistant | 1919 Rogers Rd Ste 104, San Antonio, TX 78251 | 2015-10-01 |
1477922474 | Michelle Sheree Fonseca | Physician Assistant | 9811 Huebner Rd Bldg 2, San Antonio, TX 78240-3255 | 2015-09-20 |
1235526575 | Precision First Assist LLC | Physician Assistant | 1141 N Loop 1604 E # 105-717, San Antonio, TX 78232-1339 | 2015-04-24 |
1497142160 | Jimmy Larue Conner | Physician Assistant | 2903 Deer Ledge, San Antonio, TX 78230-4554 | 2015-04-21 |
1740678317 | Catherine Millet | Physician Assistant | 730 N Main Ave Ste 312, San Antonio, TX 78205-1115 | 2015-01-05 |
Find all providers in SAN ANTONIO |
City | SAN ANTONIO |
Zip Code | 78217 |
Please comment or provide details below to improve the information on MS. MARY CATHERINE GRACE.
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.