DR. SAMUEL R NEELEY (NPI# 1265431415) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265431415 |
| Entity Type | Individual |
| Full Name | DR. SAMUEL R NEELEY |
| Credential | M.D. |
| Practice Address |
12446 West Ave Suite 200 San Antonio TX 78216-2517 |
| Mailing Address |
12446 West Ave Ste 200 San Antonio TX 78216-2530 |
| Practice Telephone | 2105251668 |
| Practice Fax Number | 2105251669 |
| Mailing Telephone | 2105251668 |
| Enumeration Date | 2005-07-19 |
| Last Update Date | 2016-10-19 |
| NPI Deactivation Date | 03/20/2006 |
| NPI Reactivation Date | 2006-03-24 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 204D00000X | Neuromusculoskeletal Medicine & OMM | E8757 | TX | Allopathic & Osteopathic Physicians |
| Y | 208M00000X | Hospitalist | E8757 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 120344004 | 05 |
| Street Address |
12446 WEST AVE SUITE 200 |
| City | SAN ANTONIO |
| State | TX |
| Zip Code | 78216-2517 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033652425 | Pediatric Urology of San Antonio Pllc | Urology | 12446 West Ave, Ste 200, San Antonio, TX 78216-2517 | 2016-12-02 |
| 1568824209 | James B Ellis Mdpa | Internal Medicine | 12446 West Ave, Ste 200, San Antonio, TX 78216-2517 | 2016-03-22 |
| 1881077857 | Charles Thomas Md Pa | Psychiatry & Neurology | 12446 West Ave, Ste 200, San Antonio, TX 78216-2517 | 2015-07-08 |
| 1548668411 | Neurology Associates of San Antonio Pllc | Psychiatry & Neurology | 12446 West Ave, Ste 200, San Antonio, TX 78216-2517 | 2014-12-09 |
| 1235360009 | Christina Ann Keane | Specialist/Technologist, Other | 12446 West Ave, Ste 200, San Antonio, TX 78216-2517 | 2009-07-28 |
| 1376749564 | Jerry I. Koch | Chiropractor | 12446 West Ave, Ste 100, San Antonio, TX 78216-2517 | 2007-06-25 |
| 1508061482 | Rose Medical Group, P.a. | Anesthesiology | 12446 West Ave, Suite 100, San Antonio, TX 78216-2517 | 2007-06-19 |
| 1649391632 | Samuel R Neeley Md Pa | Clinic/Center | 12446 West Ave, Suite 200, San Antonio, TX 78216-2517 | 2007-04-03 |
| 1801869268 | James Brant Ellis | Internal Medicine | 12446 West Ave, Ste 200, San Antonio, TX 78216-2517 | 2006-02-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376179820 | Damiana Lea Mcmahan | Speech-Language Pathologist | 12 Inter Park Blvd, #105, San Antonio, TX 78216 | 2020-03-17 |
| 1811530967 | Hacienda Hospice, Ltd | Hospice Care, Community Based | 101 W Silver Sands Dr, San Antonio, TX 78216 | 2019-10-22 |
| 1437792876 | Eddy Sidra | Optometrist | 7400 San Pedro Avenue, Suite 486, San Antonio, TX 78216 | 2019-10-17 |
| 1083256796 | Tiffany Michelle Goericke | Physical Therapist | 502 East Ramsey, San Antonio, TX 78216 | 2019-10-14 |
| 1780246942 | Esperanza Eating Disorders Center, Pllc | Clinic/Center | 403 E. Ramsey, Suite 204, San Antonio, TX 78216 | 2019-07-08 |
| 1568938314 | Lyric Lea Lewis | Licensed Vocational Nurse | 85 Ne Interstate 410 Loop #500, San Antonio, TX 78216 | 2018-10-19 |
| 1912488206 | Rebecca Anna Poppe | Licensed Vocational Nurse | 1514 Vista Del Norte, San Antonio, TX 78216 | 2018-08-24 |
| 1205338779 | Bailee Hannah Mokry | Behavioral Analyst | 11306 Sir Winston, San Antonio, TX 78216 | 2018-03-01 |
| 1487155677 | Ojer Corbie | Behavior Technician | 11310 Sir Winston At Bld D, San Antonio, TX 78216 | 2018-02-23 |
| 1366943631 | Briana Nicole Rodriguez | Behavior Technician | 14235 Blanco Road, San Antonio, TX 78216 | 2018-02-22 |
| Find all providers in zip 78216 | ||||
| Taxonomy Code | 208M00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Hospitalist |
| Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients. |
| Notes: Source: American Society of Hospital Medicine, 2007. http://www.hospitalmedicine.org/ [7/1/2009: definition aded] Additional Resources: Hospitalist is a recognized fellowship specialty program offered by many medical institutions. There is no board certification for the specialty at this point. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659992568 | Aa Health Pllc | Hospitalist | 23119 W Interstate 10 Bldg 904, San Antonio, TX 78257-1767 | 2020-05-01 |
| 1568006328 | Pac Physicians Pllc | Hospitalist | 18731 Millhollow, San Antonio, TX 78258-4256 | 2019-11-04 |
| 1851897581 | Knd Devenlopment 59, LLC | Hospitalist | 111 Dallas St Fl 4, San Antonio, TX 78205-1201 | 2018-04-02 |
| 1902354152 | Adya Physician Services Pllc | Hospitalist | 1806 Estonia Cv, San Antonio, TX 78251-5015 | 2016-09-16 |
| 1972978088 | Westover Health Partners, Pllc | Hospitalist | 7106 Hovingham, San Antonio, TX 78257-1363 | 2015-12-01 |
| 1700272788 | Haley Kensing Hughston | Hospitalist | 4502 Medical Dr Rm 5.555u, San Antonio, TX 78229-4402 | 2015-04-07 |
| 1942607502 | South Texas Inpatient Consultants, Pllc | Hospitalist | 17827 Salado Draw, San Antonio, TX 78258-1602 | 2014-11-25 |
| 1134462211 | Jonathan Mcintyre | Hospitalist | 7129 Tourant Rd, San Antonio, TX 78240-2400 | 2013-03-27 |
| 1982943676 | Mcci of Texas Hospitalist Group, Pllc | Hospitalist | 200 Navarro St, Ste 200, San Antonio, TX 78205-2900 | 2013-01-31 |
| 1235446436 | Prima Poudel | Hospitalist | 4502 Medical Dr Apt 45, San Antonio, TX 78229-4402 | 2010-09-09 |
| Find all providers in SAN ANTONIO | ||||
| City | SAN ANTONIO |
| Zip Code | 78216 |
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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.