DENISE KELLUM (NPI# 1396908950) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396908950 |
| Entity Type | Individual |
| Full Name | DENISE KELLUM |
| Other Name | DENISE SOLIS |
| Credential | PA-C |
| Practice Address |
7323 Marbach Rd Suite 104 San Antonio TX 78227-1907 |
| Mailing Address |
7323 Marbach Rd Ste 104 San Antonio TX 78227-1905 |
| Practice Telephone | 2102312540 |
| Practice Fax Number | 2102312597 |
| Mailing Telephone | 2102312586 |
| Mailing Fax Number | 2102312597 |
| Enumeration Date | 2008-07-03 |
| Last Update Date | 2020-09-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 207995601 | 05 |
| Street Address |
7323 MARBACH RD SUITE 104 |
| City | SAN ANTONIO |
| State | TX |
| Zip Code | 78227-1907 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174518625 | Daniel H Kellum Sr. | Family Medicine | 7323 Marbach Rd, 104, San Antonio, TX 78227-1907 | 2005-09-12 |
| 1093706293 | Hormazd Sanjana | Family Medicine | 7323 Marbach Rd, Suite 104, San Antonio, TX 78227-1907 | 2005-11-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700367141 | Karim Nabih | Physical Therapy Assistant | 4917 Ravenswood Dr., San Antonio, TX 78227 | 2018-08-23 |
| 1245721406 | Alamo City Urgent Care, LLC | Clinic/Center | 8223 Marbach Rd Ste 102, San Antonio, TX 78227 | 2018-05-23 |
| 1114460151 | Shauna Kurz | Nurse Practitioner | 1227 Enrique M Barrera Pkwy, San Antonio, TX 78227 | 2016-11-23 |
| 1760868079 | Valleyhi Pllc | Dentist | 306 Valley Hi Dr, Suite 103, San Antonio, TX 78227 | 2015-08-10 |
| 1902239965 | Ngan K To | Optometrist | 7239 Sw Loop 410, San Antonio, TX 78227 | 2013-08-14 |
| 1548521578 | Frances Elizabeth Alexander | Physician Assistant | 7966 Meadow Way Ct, San Antonio, TX 78227 | 2012-06-06 |
| 1609164441 | Legend Oaks - West San Antonio | Skilled Nursing Facility | 222 Bertetti, San Antonio, TX 78227 | 2011-07-14 |
| 1730494857 | Marbach Family Dental | Dentist | 1539 Sw Loop 410, San Antonio, TX 78227 | 2010-08-12 |
| 1962643544 | Heather Jill Couvillion | Occupational Therapist | 4949 Ravenswood Dr, San Antonio, TX 78227 | 2009-03-12 |
| 1326293804 | Jennifer Lynn Fitch | Chiropractor | 1305 Sw Loop 410, #227, San Antonio, TX 78227 | 2008-11-25 |
| Find all providers in zip 78227 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447866298 | Diana P Olivares | Physician Assistant | 8920 Quihi Way, San Antonio, TX 78254-1901 | 2020-09-17 |
| 1740893445 | Mcrm Assist, Pllc | Physician Assistant | 14546 Brook Hollow Blvd # 417, San Antonio, TX 78232-3810 | 2020-08-24 |
| 1508476086 | Matthew Gaines | Physician Assistant | 2626 Bluff Xing, San Antonio, TX 78244-1000 | 2020-08-09 |
| 1235757519 | Joseph Dominic Wechsler Jr. | Physician Assistant | 9114 Autumn Skies, San Antonio, TX 78254-1929 | 2020-07-13 |
| 1396368015 | Maureen Genov | Physician Assistant | 540 Madison Oak Dr Ste 450, San Antonio, TX 78258-3932 | 2020-05-28 |
| 1386266062 | Sun Assist, Pllc | Physician Assistant | 10650 Culebra Rd # 104-484, San Antonio, TX 78251-4949 | 2020-05-15 |
| 1134758964 | Mark Lee Nentwig | Physician Assistant | 1434 E Sonterra Blvd Ste 206, San Antonio, TX 78258-4973 | 2020-04-03 |
| 1962034694 | Christina L Russell | Physician Assistant | 525 Oak Centre Dr Ste 100, San Antonio, TX 78258-3916 | 2020-02-11 |
| 1265071203 | Caralyne Sandquist | Physician Assistant | 5510 Presidio Parkway, Building #2 Suite 2401, San Antonio, TX 78249 | 2019-12-21 |
| 1447808498 | Elizabeth Ann Blair | Physician Assistant | 24623 Birdie Rdg, San Antonio, TX 78260-7847 | 2019-09-03 |
| Find all providers in SAN ANTONIO | ||||
| City | SAN ANTONIO |
| Zip Code | 78227 |
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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.