DR. JAIME MORENO (NPI# 1144281478) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144281478 |
| Entity Type | Individual |
| Full Name | DR. JAIME MORENO |
| Credential | MD |
| Practice Address |
1715 Mccullough Ave San Antonio TX 78212 |
| Practice Telephone | 2102255323 |
| Practice Fax Number | 2102257505 |
| Mailing Telephone | 2102255323 |
| Mailing Fax Number | 2102257505 |
| Enumeration Date | 2006-03-28 |
| Last Update Date | 2016-10-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | G8298 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | WELLMED MEDICAID | 1146664-09 | 01 |
| TX | WELLMED MEDICARE | 8J9796 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144476938 | Jaime Moreno | Emergency Medicine | 3249 S. Oak Park Ave., Berwyn, IL 60402 | 2008-08-12 |
| 1366942187 | Jaime Moreno | Licensed Vocational Nurse | 8001 S Us Highway 75, Sherman, TX 75090-5707 | 2018-02-19 |
| 1952720781 | Jaime Enrique Moreno | Family Medicine | 415 Embassy Oaks Ste 200, San Antonio, TX 78216-2042 | 2014-04-09 |
| 1679659817 | Jaime Patricio Moreno | Physical Therapist | 701 Park Ave, Corpus Christi, TX 78401-3420 | 2006-10-31 |
| Street Address |
1715 MCCULLOUGH AVE |
| City | SAN ANTONIO |
| State | TX |
| Zip Code | 78212 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104822683 | Carmina M Fusco | Podiatrist | 1715 Mccullough Ave, 2nd Floor, San Antonio, TX 78212-4046 | 2005-06-21 |
| 1598135824 | Nelly Elena Tellez | Nurse Practitioner | 1715 Mccullough Ave, San Antonio, TX 78212-4046 | 2015-09-29 |
| 1457789935 | Carvajals Inc | Pharmacy | 1715 Mccullough Ave, San Antonio, TX 78212-4046 | 2013-10-21 |
| 1033556857 | Patricia Saravia | Family Medicine | 1715 Mccullough Ave, San Antonio, TX 78212-4046 | 2013-06-03 |
| 1801160692 | Paree Lavonne Gallo | Physician Assistant | 1715 Mccullough Ave, San Antonio, TX 78212-4046 | 2012-02-27 |
| 1295980274 | Lisa Marie Leffler | Internal Medicine | 1715 Mccullough Ave, San Antonio, TX 78212-4046 | 2008-11-18 |
| 1639348048 | Aaron Alan Anguiano | Family Medicine | 1715 Mccullough Ave, San Antonio, TX 78212-4046 | 2008-02-29 |
| 1174694103 | Maria Delores Ponse Wheelis | Family Medicine | 1715 Mccullough Ave, San Antonio, TX 78212-4046 | 2006-11-13 |
| 1821044751 | Rosemary Romo Rivas | Registered Nurse | 1715 Mccullough Ave, San Antonio, TX 78212-4046 | 2006-05-25 |
| 1124025838 | Ramon Luis Figueroa | Family Medicine | 1715 Mccullough Ave, San Antonio, TX 78212-4046 | 2005-07-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902451701 | Ninfa Hernandez Guzman | Assisted Living Facility | 325 E Locust St., San Antonio, TX 78212 | 2019-08-08 |
| 1366924730 | David Edward Dupuy | Occupational Therapist | 307 West Cypress, San Antonio, TX 78212 | 2018-09-03 |
| 1184100836 | Magenta Health, Inc. | Clinic/Center | 1222 North Main, Suite 115, San Antonio, TX 78212 | 2018-07-16 |
| 1497275762 | Dms Pharmacy, LLC | Pharmacy | 305 East Euclid, Suite 104, San Antonio, TX 78212 | 2017-06-27 |
| 1245693290 | Rebecca Lynn Sherman | Physical Therapist | 40 Ne Interstate 410 Loop, San Antonio, TX 78212 | 2016-03-29 |
| 1669886032 | Felise De Novo, PC | Counselor | 2400 Mccullough Ave., #12851, San Antonio, TX 78212 | 2014-06-13 |
| 1699102699 | Prem S. Kalidindi | Pharmacist | 2608 N. Main, Ste 1, San Antonio, TX 78212 | 2013-10-04 |
| 1073860052 | Sarah Nicole Percy Tovar | Dentist | 4118 Mccullough Ave., Suite 6, San Antonio, TX 78212 | 2012-08-09 |
| 1205181674 | Michael Jose Cavazos | Internal Medicine | 1100 Mccullough Ave Ste 300, San Antonio, TX 78212 | 2012-07-20 |
| 1730458381 | Neuriom, Pllc | Electrodiagnostic Medicine | 4007 Mccullough Ave, #243, San Antonio, TX 78212 | 2011-12-27 |
| Find all providers in zip 78212 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| 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 |
|---|---|---|---|---|
| 1760080014 | Stephanie Kennedy | Internal Medicine | 503 E Sonterra Blvd, San Antonio, TX 78258-4058 | 2020-10-09 |
| 1356966287 | All-american Allergy Asthma & Immunology Center | Internal Medicine | 1303 Mccullough Ave Ste 362, San Antonio, TX 78212-5620 | 2020-06-16 |
| 1154945913 | Primera Wellness LLC | Internal Medicine | 1603 Babcock Rd Ste 238-2, San Antonio, TX 78229-4708 | 2020-06-07 |
| 1982244612 | Douglas Shawn Owens | Internal Medicine | 503 E Sonterra Blvd Ste 102, San Antonio, TX 78258-4059 | 2020-01-10 |
| 1053872937 | Southern Texas Physicians,llc | Internal Medicine | 14345 Blanco Rd, San Antonio, TX 78216-7723 | 2019-03-25 |
| 1568929479 | Abc Medical Concierge LLC | Internal Medicine | 2838 N Loop 1604 E Ste 104, San Antonio, TX 78232-1712 | 2019-02-27 |
| 1861972796 | Integrative Health Solution, LLC | Internal Medicine | 10007 Huebner Rd Ste 106, San Antonio, TX 78240-1646 | 2018-08-20 |
| 1528553039 | Remington Wellness Group Dba Truemed Health Centers | Internal Medicine | 525 Oak Centre Dr Ste 230, San Antonio, TX 78258-3916 | 2018-06-27 |
| 1942733662 | Tasnim Islam | Internal Medicine | 12446 West Ave Ste 102, San Antonio, TX 78216-2530 | 2017-04-10 |
| 1154866135 | Chris Dire | Internal Medicine | 3551 Roger Brooke Dr., Jbsa-fort Sam Houston, San Antonio Military Medical Center, San Antonio, TX 78234-4504 | 2016-12-29 |
| Find all providers in SAN ANTONIO | ||||
| City | SAN ANTONIO |
| Zip Code | 78212 |
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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.