CONCORD IMAGING (NPI# 1457879215) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457879215 |
| Entity Type | Organization |
| Organization Name | CONCORD IMAGING |
| Practice Address |
18802 Meisner Drive San Antonio TX 78252-4251 |
| Mailing Address |
Po Box 1888 Greenville TX 75403-1888 |
| Practice Telephone | 2105722222 |
| Practice Fax Number | 2102492177 |
| Mailing Telephone | 8008979867 |
| Enumeration Date | 2017-08-31 |
| Last Update Date | 2017-08-31 |
| Authorized Official Name | JEREMY NYLE WIERSIG (PRESIDENT) |
| Authorized Official Telephone | 2105722222 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
Allopathic & Osteopathic Physicians |
| Street Address |
18802 MEISNER DRIVE |
| City | SAN ANTONIO |
| State | TX |
| Zip Code | 78252-4251 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720688534 | Barrio Comprehensive Family Health Care Center, Inc. | Clinic/Center | 11930 Us Highway 90, Suite 110, San Antonio, TX 78252 | 2020-10-30 |
| 1902410699 | Bigway Family Dental Pllc | Clinic/Center | 11930 U.s . Hwy. 90, West, Suite 106, San Antonio, TX 78252 | 2020-09-01 |
| 1689156762 | John A Presas | Emergency Medical Technician, Basic | 11326 Pecan Cyn, San Antonio, TX 78252 | 2018-09-05 |
| 1427564285 | Quinn Rhea Thomas | Specialist/Technologist | 11960 Dragon Lane, San Antonio, TX 78252 | 2017-12-15 |
| 1851796841 | Family Over Everything Services LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 11866 Luckey Vista, San Antonio, TX 78252 | 2014-11-03 |
| 1982009411 | Reginald Smith | Physician Assistant | 6536 Cagnon Rd, San Antonio, TX 78252 | 2014-10-27 |
| 1497164503 | Ken Vandewalle | Dentist | 6535 Cagnon Rd, San Antonio, TX 78252-2211 | 2014-08-04 |
| 1043615503 | Steven Mercado | Internal Medicine | 6535 Cagnon Rd, San Antonio, TX 78252-2211 | 2014-10-27 |
| 1881086452 | Mercedes Mendoza | Dental Hygienist | 7615 Umbra Hts, San Antonio, TX 78252-2256 | 2015-02-19 |
| 1528339637 | Bridging The Gap Pediatric Therapy | Specialist/Technologist | 7646 Umbra Hts, San Antonio, TX 78252-2256 | 2012-01-20 |
| Find all providers in zip 78252 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689294118 | Yolanda Salas Vergara | Radiology | 215 E Quincy St Ste 100, San Antonio, TX 78215-2032 | 2020-04-24 |
| 1568095123 | Century Radiology Medical Group, Inc | Radiology | 7102 Bethencourt, San Antonio, TX 78209-3407 | 2020-02-21 |
| 1760030852 | Francis Joseph Carabin | Radiology | 318 E Nakoma St, San Antonio, TX 78216-2795 | 2019-08-31 |
| 1518421619 | Alvarado Radiology Group Inc, A Professional Corporation | Radiology | 12202 Chambers Cv, San Antonio, TX 78253-6357 | 2019-01-23 |
| 1649751058 | Mri Centers of Texas LLC - San Antonio Series | Radiology | 4400 Vance Jackson Rd, San Antonio, TX 78230-5323 | 2018-08-23 |
| 1699157289 | Apurva Ashok Bonde | Radiology | 4502 Medical Dr # L340, San Antonio, TX 78229-4402 | 2015-06-19 |
| 1316337140 | Carl R Keener | Radiology | 15303 Huebner Rd Ste 11, San Antonio, TX 78248-0983 | 2015-02-02 |
| 1912260472 | John Damon Pavlus | Radiology | 331 E Fest St, San Antonio, TX 78204-1954 | 2012-06-20 |
| 1215235916 | Justin Costello | Radiology | 3851 Roger Brooke Drive, Fort Sam Houston, San Antonio, TX 78234-6200 | 2011-03-03 |
| 1104053321 | Brian P Deuell | Radiology | 8300 Floyd Curl Dr # Mc7977, San Antonio, TX 78229-3931 | 2009-06-15 |
| Find all providers in SAN ANTONIO | ||||
| City | SAN ANTONIO |
| Zip Code | 78252 |
Please comment or provide details below to improve the information on CONCORD IMAGING.
| 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.