DR. JERRY WELDON PATTERSON (NPI# 1255314084) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255314084 |
| Entity Type | Individual |
| Full Name | DR. JERRY WELDON PATTERSON |
| Credential | DPM |
| Practice Address |
423 Treeline Park Ste 315 San Antonio TX 78209-2079 |
| Mailing Address |
423 Treeline Park Suite 315 San Antonio TX 78209-2079 |
| Practice Telephone | 2106149610 |
| Practice Fax Number | 2106149613 |
| Mailing Telephone | 2106149610 |
| Mailing Fax Number | 2106149613 |
| Enumeration Date | 2005-11-25 |
| Last Update Date | 2012-10-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | TX0457 | TX | Podiatric Medicine & Surgery Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679530174 | Jerry E Patterson | Dentist | 2823 N Duke St, Durham, NC 27704-2621 | 2006-04-27 |
| Street Address |
423 TREELINE PARK STE 315 |
| City | SAN ANTONIO |
| State | TX |
| Zip Code | 78209-2079 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972503092 | Suresh Koneru | Plastic Surgery | 423 Treeline Park, Suite 300, San Antonio, TX 78209-2060 | 2005-07-29 |
| 1588031777 | Lydia Ann Trejo | Nurse Practitioner | 423 Treeline Park, Suite 325, San Antonio, TX 78209-2060 | 2015-08-24 |
| 1326308305 | Jerry W. Patterson, D.p.m, P.a. | Podiatrist | 423 Treeline Park, Suite 315, San Antonio, TX 78209-2060 | 2012-05-23 |
| 1083912323 | Dallas Justin Patterson | Podiatrist | 423 Treeline Park, Suite #315, San Antonio, TX 78209-2060 | 2011-03-10 |
| 1700049400 | Concord Imaging At The Quarry, Pa | Radiology | 423 Treeline Park, Suite 100, San Antonio, TX 78209-1997 | 2008-07-03 |
| 1407013691 | Shaun Chadrick Jackson | Physical Medicine & Rehabilitation | 423 Treeline Park, Suite 325, San Antonio, TX 78209-2060 | 2008-05-16 |
| 1629271705 | Imaging Partners of San Antonio, Lllp | Radiology | 423 Treeline Park, Suite 101, San Antonio, TX 78209-1997 | 2007-06-07 |
| 1891907424 | Advanced Concpets In Plastic Surgery Pa | Specialist | 423 Treeline Park, Suite 300, San Antonio, TX 78209 | 2007-05-04 |
| 1912059262 | Oakdell Pharmacy LLC | Pharmacy | 423 Treeline Park, Ste 201, San Antonio, TX 78209-2060 | 2007-01-17 |
| 1962428268 | Christus Santa Rosa Pasc-san Antonio LLC | Clinic/Center | 423 Treeline Park, Suite 202, San Antonio, TX 78209-1997 | 2006-07-14 |
| Find all providers in the same location | ||||
| 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 | 213E00000X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316494628 | Stride Anew, Pllc | Podiatrist | 13923 Evelina, San Antonio, TX 78253-4416 | 2016-09-02 |
| 1588042717 | Priya Amin | Podiatrist | 701 S Zarzamora St Ste 2120, San Antonio, TX 78207 | 2015-05-07 |
| 1225437916 | Ehi Austin Clinic, Pllc | Podiatrist | 525 Oak Centre Dr Ste 440, San Antonio, TX 78258-3916 | 2014-08-19 |
| 1447675970 | Lawrence A Czelusta, Dpm, PC | Podiatrist | 9325 Schoenthal Rd, San Antonio, TX 78266-2858 | 2014-02-20 |
| 1902019169 | Kenneth Williams Dpm | Podiatrist | 1954 E Houston, Ste 202, San Antonio, TX 78202 | 2007-05-07 |
| 1972641157 | Richard C Adam | Podiatrist | 3026 Hillcrest Dr, San Antonio, TX 78201-7006 | 2007-02-01 |
| 1902969959 | Henry H Swift II | Podiatrist | 15203 Wayside Oaks, San Antonio, TX 78232-3928 | 2006-12-19 |
| 1669530523 | Wilburn Earl Thomas | Podiatrist | 4320 S Gevers St, Suite 300, San Antonio, TX 78223-2216 | 2006-12-04 |
| 1144331083 | W. Brent Gillespie | Podiatrist | 19222 Stonehue Ste 104, San Antonio, TX 78258-3454 | 2006-08-31 |
| 1548271513 | Steven Richard Fredette | Podiatrist | 422 N General Mcmullen Dr, Suite 102, San Antonio, TX 78237-1572 | 2006-08-11 |
| Find all providers in SAN ANTONIO | ||||
| City | SAN ANTONIO |
| Zip Code | 78209 |
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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.