LAKE MI MOBILE DOCTORS PC (NPI# 1134472244) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134472244 |
| Entity Type | Organization |
| Organization Name | LAKE MI MOBILE DOCTORS PC |
| Other Organization Name | MOBILE DOCTORS OF SAN ANTONIO |
| Practice Address |
3201 Cherry Ridge St Suite C-315 San Antonio TX 78230-4823 |
| Mailing Address |
3319 N. Elston Ave. Suite 200 Chicago IL 60618-5811 |
| Practice Telephone | 2103195487 |
| Practice Fax Number | 2103422300 |
| Mailing Telephone | 7737517200 |
| Mailing Fax Number | 7735834401 |
| Enumeration Date | 2012-10-26 |
| Last Update Date | 2012-10-26 |
| Authorized Official Name | MR. TYSYN CONTRERAS (DIRECTOR OF QUALITY ASSURANCE) |
| Authorized Official Telephone | 7737517200 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 213E00000X | Podiatrist | Podiatric Medicine & Surgery Service Providers | ||
| Y | 207RG0300X |
Internal Medicine Specialization: Geriatric Medicine |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Mobile Doctors of San Antonio | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437492055 | Lake Mi Mobile Doctors PC | Internal Medicine | 2335 S Linden Rd, Suite B, Flint, MI 48532-5497 | 2013-04-02 |
| Street Address |
3201 CHERRY RIDGE ST SUITE C-315 |
| City | SAN ANTONIO |
| State | TX |
| Zip Code | 78230-4823 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225035942 | Carlos F Morales | Internal Medicine | 3201 Cherry Ridge St, Suite C-325, San Antonio, TX 78230-4823 | 2005-07-07 |
| 1114481298 | Alyssa Lansford | Behavioral Analyst | 3201 Cherry Ridge St, San Antonio, TX 78230-4823 | 2019-01-23 |
| 1326541194 | Jessica Villagomez | Specialist/Technologist | 3201 Cherry Ridge St, San Antonio, TX 78230-4823 | 2018-03-17 |
| 1295238392 | Sayde Mullen | Occupational Therapist | 3201 Cherry Ridge St, San Antonio, TX 78230-4823 | 2018-03-14 |
| 1437651841 | Steven Rosales | Licensed Vocational Nurse | 3201 Cherry Ridge St, San Antonio, TX 78230-4823 | 2018-03-01 |
| 1568964120 | Monica H Perez | Registered Nurse | 3201 Cherry Ridge St, San Antonio, TX 78230-4823 | 2018-02-28 |
| 1255833828 | Samantha Ann Bailey | Licensed Vocational Nurse | 3201 Cherry Ridge St, San Antonio, TX 78230-4823 | 2018-02-28 |
| 1932601515 | Sarah Renee Ortega | Licensed Vocational Nurse | 3201 Cherry Ridge St, San Antonio, TX 78230-4823 | 2018-02-28 |
| 1184125999 | Heather Marie Ndima | Licensed Vocational Nurse | 3201 Cherry Ridge St, San Antonio, TX 78230-4823 | 2018-02-27 |
| 1982105623 | Nadia Salazar | Licensed Vocational Nurse | 3201 Cherry Ridge St, San Antonio, TX 78230-4823 | 2018-02-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184224834 | Natasha Bakunda | Nurse Practitioner | Fountainhead One Tower, 8200 Ih-10 West, Ste 317, San Antonio, TX 78230 | 2020-10-30 |
| 1154930568 | James Cory Vasquez | Pharmacist | 9900 Wurzbach Road, San Antonio, TX 78230 | 2020-07-31 |
| 1861033144 | Aspasia Amtsberg | Licensed Practical Nurse | 7710 W I-10, San Antonio, TX 78230 | 2019-10-08 |
| 1841840212 | Allison Danielle Davidson | Licensed Vocational Nurse | 7710 West, I-10, San Antonio, TX 78230 | 2019-09-17 |
| 1063062800 | Dalisa Kelly Bacon | Nurse's Aide | 7710 West I 10, San Antonio, TX 78230 | 2019-09-13 |
| 1952878134 | Yvette Turner | Licensed Practical Nurse | 4951 Woodstone Dr, Apt 615 Face 2, San Antonio, TX 78230 | 2018-10-25 |
| 1396226270 | Tammy Lynn Saldana | Registered Nurse | 7710 W I10, San Antonio, TX 78230 | 2018-08-28 |
| 1891275699 | Nina Lum Fru Baumgarten | Counselor | 7710 W1h 10, San Antonio, TX 78230 | 2018-08-21 |
| 1952880833 | Rebecca N Khorram | Speech-Language Pathologist | I-10 W 10609 Frontage Rd, 105, San Antonio, TX 78230 | 2018-08-10 |
| 1770071540 | Michael Allen Kent | Counselor | Northwest Atrium, 11550 West I-10, Suite 235, San Antonio, TX 78230 | 2018-04-27 |
| Find all providers in zip 78230 | ||||
| Taxonomy Code | 207RG0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Geriatric Medicine |
| An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235450107 | Dr. Jesus G. Garcia, Md, Pa | Internal Medicine | 4423 Nw Loop 410 Ste 101, San Antonio, TX 78229 | 2010-06-15 |
| 1699968560 | Oscar Alberto Iznaola -esquivel | Internal Medicine | 1141 N Loop 1604 E, 105-434, San Antonio, TX 78232-1339 | 2007-08-23 |
| 1366547317 | Colleen M Kennedy | Internal Medicine | 6401 El Verde Rd, San Antonio, TX 78238-2323 | 2006-09-14 |
| 1386751352 | Michael Joseph Lichtenstein | Internal Medicine | 8300 Floyd Curl Drive, Ut Medicine At San Antonio-geriatrics, San Antonio, TX 78229-4403 | 2006-08-24 |
| 1871607820 | Mark Alan Prange | Internal Medicine | 5007 E Beverly Mae Dr, San Antonio, TX 78229-4940 | 2006-08-18 |
| 1245277300 | Jibrail Kasperkhan | Internal Medicine | 16906 Hidden Oak Woods, San Antonio, TX 78248-1403 | 2006-05-31 |
| 1396705471 | Guilford Robinson | Internal Medicine | 5150 Broadway St, 610, San Antonio, TX 78209-5710 | 2006-03-24 |
| 1275528978 | Joseph John Thayil | Internal Medicine | 4129 Naco Perrin Blvd, San Antonio, TX 78217-2505 | 2005-09-19 |
| 1639162746 | David Robert Wood | Internal Medicine | 4411 E Southcross Blvd, San Antonio, TX 78222-3726 | 2005-08-24 |
| 1528061017 | Sandra E Sanchez-reilly | Internal Medicine | 4502 Medical Dr, San Antonio, TX 78229 | 2005-05-27 |
| Find all providers in SAN ANTONIO | ||||
| City | SAN ANTONIO |
| Zip Code | 78230 |
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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.