MS. MERRYL LEATHERMAN (NPI# 1376512350) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376512350 |
| Entity Type | Individual |
| Full Name | MS. MERRYL LEATHERMAN |
| Credential | P.A.-C |
| Practice Address |
3603 Paesanos Pkwy Ste 300 San Antonio TX 78231-1267 |
| Practice Telephone | 2106921245 |
| Practice Fax Number | 2106929311 |
| Mailing Telephone | 2106921245 |
| Mailing Fax Number | 2106929311 |
| Enumeration Date | 2006-03-14 |
| Last Update Date | 2011-10-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA01082 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
3603 PAESANOS PKWY STE 300 |
| City | SAN ANTONIO |
| State | TX |
| Zip Code | 78231-1267 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740286764 | Suzanne K Gazda | Psychiatry & Neurology | 3603 Paesanos Pkwy, Suite 300, San Antonio, TX 78231-1267 | 2005-06-23 |
| 1396145124 | Megan Vargas | Physician Assistant | 3603 Paesanos Pkwy, Suite 300, San Antonio, TX 78231-1267 | 2014-08-29 |
| 1881033504 | Shavano Precision Laboratory, LLC | Clinic/Center | 3603 Paesanos Pkwy, Suite 205b, San Antonio, TX 78231-1267 | 2013-06-15 |
| 1568738763 | South Texas Neurobehavioral Group LLC | Clinical Neuropsychologist | 3603 Paesanos Pkwy, Suite 300, San Antonio, TX 78231-1267 | 2012-04-02 |
| 1891008470 | Paesanos Parkway Imaging I LLC | Clinic/Center | 3603 Paesanos Pkwy, Suite 110, San Antonio, TX 78231-1267 | 2010-07-23 |
| 1003130543 | South Texas Neuropsychological Associates Pllc | Clinical Neuropsychologist | 3603 Paesanos Pkwy, Ste 300a, San Antonio, TX 78231-1267 | 2010-03-25 |
| 1609005305 | Kathy Baum Vonada | Counselor | 3603 Paesanos Pkwy, 202, San Antonio, TX 78231-1267 | 2009-07-02 |
| 1619150588 | Ellen S Vandelden | Psychiatry & Neurology | 3603 Paesanos Pkwy, Suite 300, San Antonio, TX 78231-1227 | 2007-12-13 |
| 1720008527 | Spine and Pain Center of San Antonio | Physical Medicine & Rehabilitation | 3603 Paesanos Pkwy, Suite 100, San Antonio, TX 78231-1227 | 2006-07-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790229516 | U S Anesthesia Partners of Texas, Pa | Anesthesiology | 3603 Paesanos Pkwy Ste 100, San Antonio, TX 78231 | 2016-12-13 |
| 1679945869 | Jocasta Castillo | Social Worker | Jewish Family Service of San Antonio, Tx, Inc., 12500 Nw Military Hwy Ste 250, San Antonio, TX 78231 | 2015-10-27 |
| 1710367297 | Amir Shahab Ashtiani | Dentist | 938 Wurzbach Pkwy Ste 107, San Antonio, TX 78231 | 2015-06-01 |
| 1386044303 | Cvs Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 919 Wurzbach Parkway, San Antonio, TX 78231 | 2014-08-27 |
| 1326452160 | Wal-mart Stores Texas, LLC | Technician/Technologist | 12639 Blanco Rd, San Antonio, TX 78231 | 2014-06-19 |
| 1306165378 | Rex Elwyn Wildey | Dentist | 10003 Nw Military Hwy, Suite 3201, San Antonio, TX 78231 | 2010-05-28 |
| 1003065095 | Gomes Dental, PC | Dentist | 4115 Pond Hill Rd, Suite 102, Shavano Park, TX 78231 | 2008-09-15 |
| 1801966320 | William Michael Copeland | Dentist | 2397 C Nw Military Hwy, San Antonio, TX 78231 | 2006-11-09 |
| 1588766802 | Eugene G Krenzer Jr. | Counselor | 12500 North West Military Hwy #250, Jewish Family and Children's Services, San Antonio, TX 78231 | 2006-09-05 |
| 1760590442 | Arlene G. Dryer | Social Worker | Jfcs, 12500 N.w. Military Hwy., #250, San Antonio, TX 78231 | 2006-08-25 |
| Find all providers in zip 78231 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245870930 | Jessica Grimaldo | Physician Assistant | 1200 Brooklyn Ave Ste 230, San Antonio, TX 78212-0010 | 2020-01-09 |
| 1194210658 | 5 Star Integrity Healthcare, LLC | Physician Assistant | 1300 West Ave Ste 201, San Antonio, TX 78201-3501 | 2018-06-27 |
| 1245750512 | William S Beall Jr. | Physician Assistant | 230 E Travis St, San Antonio, TX 78205-1702 | 2017-06-27 |
| 1114473808 | Devon H. Durand | Physician Assistant | 7950 Floyd Curl Dr Ste 805, San Antonio, TX 78229-3926 | 2016-09-01 |
| 1538533104 | Dara Danielle Valdez | Physician Assistant | 2040 Babcock Rd Ste 301, San Antonio, TX 78229-4428 | 2015-11-19 |
| 1720458870 | Thomas Alan Espinoza | Physician Assistant | 1919 Rogers Rd Ste 104, San Antonio, TX 78251 | 2015-10-01 |
| 1477922474 | Michelle Sheree Fonseca | Physician Assistant | 9811 Huebner Rd Bldg 2, San Antonio, TX 78240-3255 | 2015-09-20 |
| 1235526575 | Precision First Assist LLC | Physician Assistant | 1141 N Loop 1604 E # 105-717, San Antonio, TX 78232-1339 | 2015-04-24 |
| 1497142160 | Jimmy Larue Conner | Physician Assistant | 2903 Deer Ledge, San Antonio, TX 78230-4554 | 2015-04-21 |
| 1740678317 | Catherine Millet | Physician Assistant | 730 N Main Ave Ste 312, San Antonio, TX 78205-1115 | 2015-01-05 |
| Find all providers in SAN ANTONIO | ||||
| City | SAN ANTONIO |
| Zip Code | 78231 |
Please comment or provide details below to improve the information on MS. MERRYL LEATHERMAN.
| 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.