MAX GERALD GAROUTTE (NPI# 1235135344) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235135344 |
| Entity Type | Individual |
| Full Name | MAX GERALD GAROUTTE |
| Credential | M.D. |
| Practice Address |
1003 Ne Loop 410 San Antonio TX 78209-1205 |
| Practice Telephone | 2106546000 |
| Practice Fax Number | 2106546014 |
| Mailing Telephone | 2106546000 |
| Mailing Fax Number | 2106546014 |
| Enumeration Date | 2005-06-23 |
| Last Update Date | 2011-03-24 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | H9639 | TX | Allopathic & Osteopathic Physicians |
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
H9639 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TAX ID | 752646025 | 01 | |
| TX | CLIA | 45D0955862 | 01 |
| CIGNA | 3063865 | 01 | |
| TX | 085790601 | 05 | |
| TX | BCBS | 83Z820 | 01 |
| Street Address |
1003 NE LOOP 410 |
| City | SAN ANTONIO |
| State | TX |
| Zip Code | 78209-1205 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962602763 | Metro North Cardiovascular Associates, P.a | Specialist | 1003 Ne Loop 410, San Antonio, TX 78209-1205 | 2007-07-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891346359 | Westlake Dermatology of San Antonio Pllc | Dermatology | 5500 Broadway Ave Ste R100, Alamo Heights, TX 78209 | 2019-09-26 |
| 1265086045 | Westlake Dermatology, Pa | Dermatology | 5500 Broadway Ave, Alamo Heights, TX 78209 | 2019-07-30 |
| 1194207530 | Arthur Davies | Licensed Vocational Nurse | 8700 Crownhill Blvd #300, San Antonio, TX 78209 | 2018-09-01 |
| 1538649462 | Jessica Michelle Moore | Licensed Vocational Nurse | 8400 Crown Hill Blvd, San Antonio, TX 78209 | 2018-08-20 |
| 1871072645 | Olawunmi Olapeju Odele | Licensed Vocational Nurse | 8700 Crownhill Blvd. Ste.300, San Antonio, TX 78209 | 2018-08-12 |
| 1265921126 | Ashley L Garcia | Physician Assistant | 414 W Sunset Rd Ste 205, San Antonio, TX 78209 | 2018-05-07 |
| 1083117428 | New Choices Treatment Center LLC | Substance Abuse Rehabilitation Facility | 3050 Eisenhauer Rd Apt 501, San Antonio, TX 78209 | 2018-03-12 |
| 1629570106 | Julieta Rubio Hobbs | Counselor | 4301 Broadway St. 438, San Antonio, TX 78209 | 2018-03-01 |
| 1326550187 | Shannon Lee Crowley | Occupational Therapy Assistant | 403 Irvington Dr, San Antonio, TX 78209 | 2017-11-01 |
| 1932627007 | Juanita De Luna Salazar | Physical Therapist | 1635 Ne Interstate 410 Loop, #600, San Antonio, TX 78209 | 2017-09-08 |
| Find all providers in zip 78209 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://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 |
|---|---|---|---|---|
| 1184098279 | Heart Endovascular and Rhythm of Texas, Pa | Internal Medicine | 1202 E Sonterra Blvd Ste 604, San Antonio, TX 78258-4093 | 2015-11-30 |
| 1780058040 | Advanced Cardiac Imaging Solutions, Pllc | Internal Medicine | 13423 Blanco Road #437, San Antonio, TX 78216 | 2015-11-23 |
| 1215329602 | Ricardo A Garza Md Pllc | Internal Medicine | 6800 W Ih 10 West, Suite 110, San Antonio, TX 78201-2039 | 2015-02-23 |
| 1003205873 | Heart and Rhythm Institute of South Texas, Pa | Internal Medicine | 8122 Datapoint Dr Ste 120, San Antonio, TX 78229-3264 | 2015-01-16 |
| 1205181674 | Michael Jose Cavazos | Internal Medicine | 1100 Mccullough Ave Ste 300, San Antonio, TX 78212 | 2012-07-20 |
| 1326342015 | B.s.athreya,m.d.,p.a.& Associates | Internal Medicine | 215 E Quincy St Ste 430, San Antonio, TX 78215-2034 | 2011-01-10 |
| 1093034654 | South Texas Cardiology Institute, Pllc | Internal Medicine | 6800 Ih 10 W Ste 200, San Antonio, TX 78201-2041 | 2010-05-21 |
| 1164604294 | Chun Wang Tan Md Pa | Internal Medicine | 323 W Mulberry Ave, San Antonio, TX 78212-3236 | 2007-11-30 |
| 1851573844 | Rushit R. Kanakia | Internal Medicine | 1715 Mccullough Ave Fl 2, San Antonio, TX 78212-4046 | 2007-11-30 |
| 1336337880 | R. Stefan Kiesz M.d. P.a. | Internal Medicine | 18615 Tuscan Stone, Suite 170, San Antonio, TX 78258-3498 | 2007-10-10 |
| Find all providers in SAN ANTONIO | ||||
| City | SAN ANTONIO |
| Zip Code | 78209 |
Please comment or provide details below to improve the information on MAX GERALD GAROUTTE.
| 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.