JOHN LEE MCNEILL (NPI# 1205812898) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205812898 |
| Entity Type | Individual |
| Full Name | JOHN LEE MCNEILL |
| Credential | DO |
| Practice Address |
3002 Sam Houston Dr Victoria TX 77904-2682 |
| Practice Telephone | 3615785730 |
| Practice Fax Number | 3615780749 |
| Mailing Telephone | 3615785730 |
| Mailing Fax Number | 3615780749 |
| Enumeration Date | 2005-12-16 |
| Last Update Date | 2017-08-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | K5623 | TX | Allopathic & Osteopathic Physicians |
| N | 207R00000X | Internal Medicine | K5623 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | TAX ID # | 74-2964639 | 01 |
| TX | BCBS OF TX # | 0034ET | 01 |
| TX | MEDICARE RR | DH0924 | 01 |
| TX | 139635007 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134396567 | John J Mcneill | Dentist | 2401 E 30th St Bldg 2, Farmington, NM 87401-8986 | 2008-05-14 |
| 1891863742 | John Woodward Mcneill I | Dentist | 2020 Fairview Rd, Raleigh, NC 27608-2316 | 2006-11-30 |
| 1982680898 | John Mcneill | Physical Therapist | 762 Independence Blvd Ste 772, Virginia Beach, VA 23455-6200 | 2005-12-22 |
| Street Address |
3002 SAM HOUSTON DR |
| City | VICTORIA |
| State | TX |
| Zip Code | 77904-2682 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750367314 | Jean Gisler | Nurse Practitioner | 3002 Sam Houston Dr, Victoria, TX 77904-2682 | 2005-12-15 |
| 1265826713 | Sarah Elizabeth Lewis | Nurse Practitioner | 3002 Sam Houston Dr, Victoria, TX 77904-2682 | 2015-03-23 |
| 1144634197 | Tina Hendrick | Nurse Practitioner | 3002 Sam Houston Dr, Victoria, TX 77904-2682 | 2014-06-18 |
| 1922373539 | Debra A Mcdaniel | Nurse Practitioner | 3002 Sam Houston Dr, Victoria, TX 77904-2682 | 2012-03-14 |
| 1952685125 | Derrick C Wagner | Nurse Practitioner | 3002 Sam Houston Dr, Victoria, TX 77904-2682 | 2011-10-05 |
| 1598078453 | Twin Fountains Urgent Care Center | Internal Medicine | 3002 Sam Houston Dr, Victoria, TX 77904-2682 | 2010-07-21 |
| 1225153414 | Theresa Renee Rodriguez | Physician Assistant | 3002 Sam Houston Dr, Victoria, TX 77904-2682 | 2007-03-20 |
| 1942332812 | Desiree Young Moore | Nurse Practitioner | 3002 Sam Houston Dr, Victoria, TX 77904-2682 | 2007-03-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528600384 | Bertha P Mendieta | Physician Assistant | Citizens Victoria Surgical Associates, 2705 Hospital Drive Suite 400, Building B, Victoria, TX 77904 | 2019-10-14 |
| 1952968901 | Eliza Welder | Counselor | 6502 Nursery Dr. Suite, Suite 100, Victoria, TX 77904 | 2019-05-24 |
| 1154806529 | Tammy Lynn Hogan | Counselor | 4702 N. Laurent Ste D, Victoria, TX 77904 | 2018-10-01 |
| 1740724939 | Sarah Ritchea | Counselor | 6502 Nursery Dr. Suite 100, Victoria, TX 77904 | 2016-12-07 |
| 1992177489 | World of Words Speech & Feeding Services, LLC | Speech-Language Pathologist | 120 Appaloosa Dr., Victoria, TX 77904 | 2015-10-23 |
| 1396115739 | Katelin Mcvey | Physician Assistant | 106 Springwood Drive, Suite 100, Victoria, TX 77904 | 2015-09-28 |
| 1689070062 | Jeremy M Thompson Dds Ms Pllc | Clinic/Center | 103 Professional Park Driv, Victoria, TX 77904 | 2014-11-12 |
| 1265864144 | Pf Development 23, LLC | Hospice Care, Community Based | 1501 E Mockingbird Ln Ste 301b, Victoria, TX 77904 | 2013-08-02 |
| 1053669762 | Victoria Dentistry, Pllc | Dentist | 8809 North Navarro, Ste.100, Victoria, TX 77904 | 2012-08-28 |
| 1508126442 | Ayo Adu, M.d., Pllc | Family Medicine | 9410 Ne Zac Lentz Parkway, Suite 200, Victoria, TX 77904 | 2012-05-25 |
| Find all providers in zip 77904 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215391438 | Mercer Emergency Physicians Victoria Pllc | Emergency Medicine | 6902 Ne Zac Lentz Pkwy, Victoria, TX 77904-3441 | 2016-04-13 |
| 1316076482 | Boniface Gbalazeh | Emergency Medicine | 114 Sandstone Ct, Victoria, TX 77904-2952 | 2007-03-05 |
| 1457709040 | Lone Star Emergency Associates LLC | Emergency Medicine | 506 E San Antonio St, Victoria, TX 77901-6060 | 2016-05-25 |
| 1497192660 | Crossroads Hospitalist Associates, Pllc | Emergency Medicine | 506 E San Antonio St, Victoria, TX 77901-6060 | 2013-05-29 |
| 1740485697 | Victoria of Texas Lp | Emergency Medicine | 101 Medical Dr, Victoria, TX 77904-3102 | 2007-06-20 |
| 1669528329 | John W Vaughan | Emergency Medicine | 506 E San Antonio St, Victoria, TX 77901-6060 | 2007-01-26 |
| 1730239252 | Citizens Medical Center County of Victoria | Emergency Medicine | 2701 Hospital Dr, Victoria, TX 77901-5748 | 2007-01-10 |
| 1407917164 | Victoria Emergency Associates LLC | Emergency Medicine | 506 E San Antonio St, Victoria, TX 77901-6060 | 2006-12-13 |
| 1710996350 | James Rutland Brand | Emergency Medicine | 506 E San Antonio St, Victoria, TX 77901-6060 | 2006-08-05 |
| 1114936788 | Matias Relos Medina | Emergency Medicine | 506 E San Antonio St, Victoria, TX 77901-6060 | 2006-08-05 |
| Find all providers in VICTORIA | ||||
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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.