CHANDLER NEWSOME CORP, PLLC (NPI# 1245602309) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245602309 |
| Entity Type | Organization |
| Organization Name | CHANDLER NEWSOME CORP, PLLC |
| Practice Address |
4848 Lemmon Ave Suite 100 # 316 San Antonio TX 75219 |
| Practice Telephone | 2105984225 |
| Practice Fax Number | 2105987268 |
| Mailing Telephone | 2105984225 |
| Mailing Fax Number | 2105987268 |
| Enumeration Date | 2015-10-28 |
| Last Update Date | 2016-04-22 |
| Authorized Official Name | BRENDA THIELE (DIRECTOR OF OPERATIONS) |
| Authorized Official Telephone | 2105984225 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 246ZE0600X |
Specialist/Technologist, Other Specialization: Electroneurodiagnostic |
Technologists, Technicians & Other Technical Service Providers | ||
| N | 204R00000X | Electrodiagnostic Medicine | Allopathic & Osteopathic Physicians | ||
| N | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
Allopathic & Osteopathic Physicians | ||
| Y | 2084N0600X |
Psychiatry & Neurology Specialization: Clinical Neurophysiology |
Allopathic & Osteopathic Physicians |
| Street Address |
4848 LEMMON AVE SUITE 100 # 316 |
| City | SAN ANTONIO |
| State | TX |
| Zip Code | 75219 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700421666 | Jennifer Henry Furlong | Counselor | 3500 Oak Lawn Ave Ste 720, Dallas, TX 75219 | 2019-11-14 |
| 1174082150 | Cmdpn Medical Group of Texas, P.a. | Clinic/Center | 3838 Oak Lawn Ave, Suite 1000, Pmb 1123, Dallas, TX 75219 | 2019-03-18 |
| 1245700871 | Reginald Deloatch | Day Training/Habilitation Specialist | 4123 Cedar Springs Roafd, Apt. 2332, Dallas, TX 75219 | 2018-11-27 |
| 1255815429 | Elk Monitoring,pllc | Electrodiagnostic Medicine | 4848 Lemmon Ave Suite 100 #321, Highland Park, TX 75219 | 2018-09-24 |
| 1255811154 | Matias Haller | Physical Therapist | 3131 Rurtle Creek Blvd, #615, Dallas, TX 75219 | 2018-08-20 |
| 1750861795 | Darya Semenyuk | Counselor | 3720 Rawlins St. Suite I, Dallas, TX 75219 | 2018-08-20 |
| 1144716580 | My Health & Homecare Transportation Inc | Non-emergency Medical Transport (VAN) | 3710 Rawlins St Ste 1420, Dallas, TX 75219 | 2018-07-09 |
| 1750876785 | David Dwayne Weir | Registered Nurse | 3883 Turtle Creek Blvd Apt 818, Dallas, TX 75219 | 2018-06-22 |
| 1053802264 | Stem Cell Pros LLC | Durable Medical Equipment & Medical Supplies | 4100 Harry Hines Blvd Ste 300, Dallas, TX 75219 | 2018-05-23 |
| 1346749231 | White Dental Limited Company Pllc | Clinic/Center | 3878 Oak Lawn Avenue Suite 310, Dallas, TX 75219 | 2018-02-06 |
| Find all providers in zip 75219 | ||||
| Taxonomy Code | 2084N0600X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Clinical Neurophysiology |
| Clinical Neurophysiology is a subspecialty with psychiatric or neurologic expertise in the diagnosis and management of central, peripheral, and autonomic nervous system disorders using combined clinical evaluation and electrophysiologic testing such as electroencephalography (EEG), electromyography (EMG), and nerve conduction studies (NCS). |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811516503 | Onetwo Stars | Psychiatry & Neurology | 118 Broadway St Ste 221, San Antonio, TX 78205-2088 | 2020-04-13 |
| 1336522051 | Comprehensive Neuromonitoring Pllc | Psychiatry & Neurology | 1411 N Loop 1064 E 105-612, San Antonio, TX 78232 | 2015-06-30 |
| 1225421829 | Alamo City Neurodiagnostics, Pllc | Psychiatry & Neurology | 14439 Nw Military Highway, Ste 108 #301, San Antonio, TX 78231-1648 | 2015-03-06 |
| 1386920106 | Omega Southwest, Pllc | Psychiatry & Neurology | 313 Limestone Creek Rd, San Antonio, TX 78232-3503 | 2011-10-25 |
| 1447559182 | Select Neuromonitoring Consultants, Pllc | Psychiatry & Neurology | 10004 Wurzbach Road, #393, San Antonio, TX 78230 | 2011-03-21 |
| 1487953113 | Neuromonitoring of Texas, Pllc | Psychiatry & Neurology | 20770 Highway 281 North, Suite 108, #267, San Antonio, TX 78258 | 2011-03-21 |
| 1164744165 | River Valley Neurophysiology, Pllc | Psychiatry & Neurology | 4007 Mccullough Avenue, #238, San Antonio, TX 78212 | 2010-02-18 |
| 1821328808 | Insite Surgical Monitoring Services LLC, In-site | Psychiatry & Neurology | 4722 Bending Grv, San Antonio, TX 78259-2289 | 2010-01-13 |
| 1154651123 | Jjdnm, Pllc | Psychiatry & Neurology | 8403 State Highway 151, Ste 104 #358, San Antonio, TX 78245 | 2010-01-13 |
| 1386977064 | Grmnm, Pllc | Psychiatry & Neurology | 10730 Potranco Rd, Ste 122 #195, San Antonio, TX 78251-3330 | 2009-09-11 |
| Find all providers in SAN ANTONIO | ||||
| City | SAN ANTONIO |
| Zip Code | 75219 |
Please comment or provide details below to improve the information on CHANDLER NEWSOME CORP, PLLC.
| 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.