DR. OMAR L OSORIO (NPI# 1275610784) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275610784 |
| Entity Type | Individual |
| Full Name | DR. OMAR L OSORIO |
| Credential | MD |
| Practice Address |
1055 Ada St San Antonio TX 78223-1703 |
| Mailing Address |
Po Box 87 San Antonio TX 78291-0087 |
| Practice Telephone | 2103585515 |
| Practice Fax Number | 2103585530 |
| Mailing Telephone | 2103589172 |
| Mailing Fax Number | 2103589183 |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2014-10-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | M8891 | TX | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | 238222 | NY | Allopathic & Osteopathic Physicians |
| Street Address |
1055 ADA ST |
| City | SAN ANTONIO |
| State | TX |
| Zip Code | 78223-1703 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417947326 | Marco Xavier Garcia | Internal Medicine | 1055 Ada St, San Antonio, TX 78223-1703 | 2005-10-24 |
| 1124509625 | Bridget Sedano Haggerty | Nurse Practitioner | 1055 Ada St, San Antonio, TX 78223-1703 | 2018-08-23 |
| 1821501347 | Daniel R. Flores | Pharmacist | 1055 Ada St, San Antonio, TX 78223-1703 | 2017-11-06 |
| 1740715671 | Hao Shen | Family Medicine | 1055 Ada St, San Antonio, TX 78223-1703 | 2017-04-28 |
| 1639604069 | Kennedy Michael Tlaseca | Pediatrics | 1055 Ada St, San Antonio, TX 78223-1703 | 2017-04-24 |
| 1104370543 | Justine Lee Hudson | Physician Assistant | 1055 Ada St, San Antonio, TX 78223-1703 | 2016-08-13 |
| 1891149381 | Albert Bararwandika | Family Medicine | 1055 Ada St, San Antonio, TX 78223-1703 | 2016-04-20 |
| 1689033722 | Stephanie Kaiser | Physician Assistant | 1055 Ada St, San Antonio, TX 78223-1703 | 2016-02-17 |
| 1477936219 | Deborah Dergan | Family Medicine | 1055 Ada St, San Antonio, TX 78223-1703 | 2015-06-29 |
| 1821476649 | Kathryn Wolters | Physical Therapist | 1055 Ada St, San Antonio, TX 78223-1703 | 2015-05-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598310344 | Celebraces Se Military Pllc | Dentist | 3611 Se Military Drive, Suite B101, San Antonio, TX 78223 | 2019-08-08 |
| 1295204410 | All Discountz Mobile Phlebotomy Services | Contractor | 6639 South New Braunfels, #19101, San Antonio, TEXAS 78223 | 2018-11-16 |
| 1588131585 | Ad Mobile Phlebotomy Services | Technician, Pathology | 6639 South New Braunfels Avenue, #19101, San Antonio, TEXAS 78223 | 2018-10-28 |
| 1437626694 | Valerie Brown | Technician, Pathology | C/o 6639 South New Braunfels Avenue, #19101, San Antonio, TEXAS 78223 | 2018-10-25 |
| 1285135574 | Allan Socrates Mamaril Angeles | Registered Nurse | 535 Hot Wells Blvd, Apt 301, San Antonio, TX 78223 | 2018-02-22 |
| 1356799845 | Cvs Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 3502 Se Military Drive, San Antonio, TX 78223 | 2016-05-25 |
| 1467810325 | Dsi Southeast San Antonio, LLC | Clinic/Center | 2635 S.e. Military Drive, San Antonio, TX 78223 | 2016-02-08 |
| 1477832293 | Jg-surgical Assistant's,llc | Specialist/Technologist, Other | 5311 Cynthia Linn, San Antonio, TX 78223 | 2011-08-10 |
| 1841580826 | Kiddo Denal Pa | Dentist | 3520 S. New Braunfels Ste 100, Kiddo Dental, San Antonio, TX 78223 | 2011-04-12 |
| 1770885162 | Primavera Primary Home Care, Inc | Custodial Care Facility | 1007 Fair, San Antonio, TX 78223 | 2010-11-17 |
| Find all providers in zip 78223 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881295327 | Courtney L Buchmeier | Family Medicine | 16620 San Pedro Ave, San Antonio, TX 78232-2327 | 2020-11-02 |
| 1255938866 | Bart Knight | Family Medicine | 106 Herweck Dr, San Antonio, TX 78213-3329 | 2020-10-06 |
| 1114530565 | Jacob C Reedy | Family Medicine | 525 Richmond Ave, San Antonio, TX 78215-2008 | 2020-08-26 |
| 1750992277 | Premier Tests LLC | Family Medicine | 410 E Wildwood, San Antonio, TX 78212-1758 | 2020-08-10 |
| 1770104457 | Bryanna Bermea Cantu | Family Medicine | 2318 San Pedro Ave Ste 12, San Antonio, TX 78212-1901 | 2020-05-04 |
| 1447886544 | Lets Look At Your Labs LLC | Family Medicine | 1603 Babcock Rd Ste 238-5, San Antonio, TX 78229-4708 | 2020-03-20 |
| 1609414937 | Lonestar Visiting Physicians LLC | Family Medicine | 406 Halliday Ave, San Antonio, TX 78210-4057 | 2019-12-17 |
| 1679126817 | Sarah Heather Martinez | Family Medicine | 15106 Oak Loft St, San Antonio, TX 78232-4617 | 2019-07-17 |
| 1659930634 | Villa Family Clinic, PC | Family Medicine | 2000 Se Loop 410 Ste 127a, San Antonio, TX 78220-4933 | 2019-06-12 |
| 1508327859 | South Texas Family Medicine and Urgent Care Center | Family Medicine | 3526 Galveston Trl, San Antonio, TX 78253-6219 | 2019-03-28 |
| Find all providers in SAN ANTONIO | ||||
| City | SAN ANTONIO |
| Zip Code | 78223 |
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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.