WESTOVER HILLS DERMATOLOGY (NPI# 1366980047) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366980047 |
| Entity Type | Organization |
| Organization Name | WESTOVER HILLS DERMATOLOGY |
| Practice Address |
11212 State Highway 151 Medical Plaza 1, Suite 320 San Antonio TX 78251-4498 |
| Practice Telephone | 8302762600 |
| Practice Fax Number | 8668862083 |
| Mailing Telephone | 8302762600 |
| Mailing Fax Number | 8668862083 |
| Enumeration Date | 2017-02-02 |
| Last Update Date | 2017-02-02 |
| Authorized Official Name | MOBOLAJI OPEOLA (MANAGING MEMBER) |
| Authorized Official Telephone | 4696440257 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | M9555 | TX | Other Service Providers |
| Street Address |
11212 STATE HIGHWAY 151 MEDICAL PLAZA 1, SUITE 320 |
| City | SAN ANTONIO |
| State | TX |
| Zip Code | 78251-4498 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407851223 | Nancy A Burt | Psychiatry & Neurology | 11212 State Highway 151, Plaza 1, Ste 200, San Antonio, TX 78251-4498 | 2005-06-17 |
| 1689271009 | Indigo Bend, LLC | Hospitalist | 11212 State Highway 151, San Antonio, TX 78251-4498 | 2020-10-08 |
| 1588133037 | Leanna Thompson | Nurse Practitioner | 11212 State Highway 151, San Antonio, TX 78251-4498 | 2018-11-14 |
| 1851881171 | Kathryn Eck Camplen | Midwife | 11212 State Highway 151, Medical Plaza II, Suite 315, San Antonio, TX 78251 | 2018-05-11 |
| 1740708957 | Adedeji Associates Pllc | Surgery | 11212 State Highway 151, Ste 200 Medical Plaza 1, San Antonio, TX 78251-4504 | 2017-09-07 |
| 1417477613 | Anthony Ikenna Okafor | Physician Assistant | 11212 State Highway 151, Suite 105-medical Plaza II, San Antonio, TX 78251 | 2017-06-20 |
| 1114455110 | Richard Roland Lares | Specialist/Technologist, Other | 11212 State Highway 151, San Antonio, TX 78251-4498 | 2017-06-02 |
| 1538602370 | Taylor Ellis | Nurse Practitioner | 11212 State Highway 151, Medical Plaza 1, Suite 390, San Antonio, TX 78251-4498 | 2016-11-28 |
| 1245789619 | Fhst Diagnostic Services Pllc | Family Medicine | 11212 State Highway 151, Medical Plaza Ste 240, San Antonio, TX 78251-4498 | 2016-09-27 |
| 1730536392 | Sp Administration | Dentist | 11212 State Highway 151, Suite 106 Medical Plaza 1, San Antonio, TX 78251-4498 | 2016-05-24 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255930558 | Iyobosasere Ighoroje | Nurse Practitioner | 11212 Tx - 151, San Antonio, TX 78251 | 2020-10-19 |
| 1528679933 | Michael Medina | Registered Nurse | 1224 Leonard Hunt, San Antonio, TX 78251 | 2020-08-11 |
| 1528676053 | Calm Spring Dental | Clinic/Center | 11034 W Military Drive, Suite 104, San Antonio, TX 78251 | 2020-07-21 |
| 1659917169 | Brianna Ashly Garcia | Behavioral Analyst | 3002 Culebra Rd, 105, San Antonio, TX 78251 | 2019-11-19 |
| 1245892751 | Rodolfo Eloy Zapata | Behavior Technician | 9032 Dugas Rd Apt 118, San Antonio, TX 78251 | 2019-07-03 |
| 1174188718 | Kesar Family Pllc | Internal Medicine | 3303 Rodgers Road, Suite 250, San Antonio, TX 78251 | 2019-05-09 |
| 1730657313 | Culebra Meadows Dental Partners Pllc | Dentist | 7895 Culebra Rd., San Antonio, TX 78251 | 2018-11-13 |
| 1720563299 | San Juanita Villanueva | Specialist/Technologist | 10618 Cat Mountain, San Antonio, TX 78251 | 2018-10-01 |
| 1316421506 | Westover Hills Primary Care | Family Medicine | 9022 Culebra Rd, Ste 112, San Antonio, TX 78251 | 2018-09-24 |
| 1649750894 | Alejandro Rodriguez Flores | Physical Therapy Assistant | 9922 Tx-151, San Antonio, TX 78251 | 2018-08-17 |
| Find all providers in zip 78251 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
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| 1568904175 | Ashlee Anderjeski | Specialist | 10218 Castello Cyn, San Antonio, TX 78254-4551 | 2016-11-14 |
| 1831641059 | Lone Star Cardiovascular Center Pllc | Specialist | 9130 Wurzbach Rd Ste 104, San Antonio, TX 78240-1070 | 2016-11-04 |
| 1851753396 | Coral Ramirez Camacho | Specialist | 7827 Clos Du Bois, San Antonio, TX 78253-4880 | 2016-03-23 |
| 1174984371 | Crossover Health | Specialist | 3838 Rogers Rd, San Antonio, TX 78251-3662 | 2016-03-15 |
| 1033585948 | Job Adventures | Specialist | 4606 Centerview Ste 200, San Antonio, TX 78228-1205 | 2015-08-14 |
| 1790168417 | San Antonio Head & Neck Surgical Associates | Specialist | 926 Booklyn Ave, San Antonio, TX 78215-1637 | 2015-06-30 |
| 1255738514 | Amy Beth Flores | Specialist | 7134 Washita Way, San Antonio, TX 78256-2339 | 2014-12-01 |
| 1730582263 | Womens Center At Westover Hills | Specialist | 1315 N. Ellison Dr., San Antonio, TX 78251 | 2014-09-29 |
| 1811396799 | Intravascular Access Team | Specialist | 8415 Fredericksburg Rd, Unit 906, San Antonio, TX 78229-3173 | 2014-08-17 |
| 1497164990 | Next Generation Orthopedic & Spine Institute, Pllc | Specialist | 1626 Lockhill Selma Rd, Suite 2, San Antonio, TX 78213-1929 | 2014-08-08 |
| Find all providers in SAN ANTONIO | ||||
| City | SAN ANTONIO |
| Zip Code | 78251 |
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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.