KELLUM PHYSICIAN PARTNERS, PA (NPI# 1215363544) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215363544 |
| Entity Type | Organization |
| Organization Name | KELLUM PHYSICIAN PARTNERS, PA |
| Practice Address |
8870 Us Highway 87 E San Antonio TX 78263-2242 |
| Practice Telephone | 2109452121 |
| Enumeration Date | 2013-09-18 |
| Last Update Date | 2013-09-18 |
| Authorized Official Name | JULIA FLORES (CLINIC ADMINISTRATOR) |
| Authorized Official Telephone | 2106756724 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073880092 | Kellum Physician Partners, Pa | Family Medicine | 3903 Wiseman Blvd, Suite 215, San Antonio, TX 78251-4401 | 2011-11-18 |
| Street Address |
8870 US HIGHWAY 87 E |
| City | SAN ANTONIO |
| State | TX |
| Zip Code | 78263-2242 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821514324 | Diane L Miller | Registered Nurse | 4220 Lane Drive, China Grove, TX 78263 | 2017-08-16 |
| 1215068739 | Victoria Diana Burg | Dental Hygienist | 6961 Hwy 87 East, San Antonio, TX 78263 | 2007-03-08 |
| 1386163111 | Jennifer Knowlton | Occupational Therapist | 8255 Fm 1346, San Antonio, TX 78263-1009 | 2017-09-13 |
| 1871783324 | Buena Vista Pharmacy, Inc | Pharmacy | 8920 Us Highway 87 E Ste 4a, San Antonio, TX 78263-2238 | 2007-07-31 |
| 1679076061 | Alexander Cizek | Chiropractor | 7541 Us Highway 87 E, China Grove, TX 78263-2406 | 2018-03-13 |
| 1093038648 | Beaver Medical Group, Pllc | Nurse Practitioner | 7541 Us Highway 87 E., Suite #1, San Antonio, TX 78263-2407 | 2010-03-10 |
| 1689665887 | Gail Lynn Beaver | Nurse Practitioner | 7541 Us Highway 87, E, Suite #1, San Antonio, TX 78263-2407 | 2005-11-04 |
| 1164059341 | Carrie Lea Andrews | Counselor | 7955 Real Rd, San Antonio, TX 78263-3003 | 2020-03-26 |
| 1013480201 | Erika Lindsey | Licensed Vocational Nurse | 2763 Fm 1516 S, San Antonio, TX 78263-5049 | 2019-01-10 |
| 1396876983 | Professionals In Dentistry, Pa | Dentist | 6961 Us Highway 87 E, San Antonio, TX 78263-6029 | 2007-03-08 |
| Find all providers in zip 78263 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447866298 | Diana P Olivares | Physician Assistant | 8920 Quihi Way, San Antonio, TX 78254-1901 | 2020-09-17 |
| 1740893445 | Mcrm Assist, Pllc | Physician Assistant | 14546 Brook Hollow Blvd # 417, San Antonio, TX 78232-3810 | 2020-08-24 |
| 1508476086 | Matthew Gaines | Physician Assistant | 2626 Bluff Xing, San Antonio, TX 78244-1000 | 2020-08-09 |
| 1235757519 | Joseph Dominic Wechsler Jr. | Physician Assistant | 9114 Autumn Skies, San Antonio, TX 78254-1929 | 2020-07-13 |
| 1396368015 | Maureen Genov | Physician Assistant | 540 Madison Oak Dr Ste 450, San Antonio, TX 78258-3932 | 2020-05-28 |
| 1386266062 | Sun Assist, Pllc | Physician Assistant | 10650 Culebra Rd # 104-484, San Antonio, TX 78251-4949 | 2020-05-15 |
| 1134758964 | Mark Lee Nentwig | Physician Assistant | 1434 E Sonterra Blvd Ste 206, San Antonio, TX 78258-4973 | 2020-04-03 |
| 1962034694 | Christina L Russell | Physician Assistant | 525 Oak Centre Dr Ste 100, San Antonio, TX 78258-3916 | 2020-02-11 |
| 1265071203 | Caralyne Sandquist | Physician Assistant | 5510 Presidio Parkway, Building #2 Suite 2401, San Antonio, TX 78249 | 2019-12-21 |
| 1447808498 | Elizabeth Ann Blair | Physician Assistant | 24623 Birdie Rdg, San Antonio, TX 78260-7847 | 2019-09-03 |
| Find all providers in SAN ANTONIO | ||||
| City | SAN ANTONIO |
| Zip Code | 78263 |
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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.