SOUTHEAST OB GYN ASSOCIATES


Address: 4115 E Southcross Blvd, Suite 102, San Antonio, TX 78222-3729
Phone: 2103330532

SOUTHEAST OB GYN ASSOCIATES (NPI# 1518082684) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1518082684
Entity Type Organization
Organization Name SOUTHEAST OB GYN ASSOCIATES
Practice Address 4115 E Southcross Blvd
Suite 102
San Antonio
TX 78222-3729
Practice Telephone 2103330532
Practice Fax Number 2103332292
Mailing Telephone 2103330532
Mailing Fax Number 2103332292
Enumeration Date 2007-03-20
Last Update Date 2019-11-18
Authorized Official Name HARMON W KELLEY (PRESIDENT OF COMPANY)
Authorized Official Telephone 2103330532
Authorized Official Credential M.D.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 174400000X Specialist Other Service Providers
Y 207V00000X Obstetrics & Gynecology Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
TX 080320701 05
TX 098135902 05
TX 150344301 05

Office Location

Street Address 4115 E SOUTHCROSS BLVD
SUITE 102
City SAN ANTONIO
State TX
Zip Code 78222-3729

Providers in the same location

NPI Name Taxonomy Address Enumeration
1932197910 Margaret A Kelley Specialist 4115 E Southcross Blvd, Suite 102, San Antonio, TX 78222-3729 2005-10-12
1083602957 Harmon W Kelley Obstetrics & Gynecology 4115 E Southcross Blvd, Suite 102, San Antonio, TX 78222-3729 2005-10-13

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1285164897 Kimberly Smith Contractor 2607 Lakebriar St, San Antonio, TX 78222 2017-06-15
1801045257 Perly Lee Sheffield Case Manager/Care Coordinator 5518 Elk Hunter Tr., San Antonio, TX 78222 2008-09-10
1689822447 James Edward Williams Family Medicine 3859 E Southcross Blvd Ste C, San Antonio, TX 78222 2008-09-05
1508025693 Southcross Surgical Center, LLC Clinic/Center 4025 E. Southcross, Bldg 3 Ste. 15, San Antonio, TX 78222 2008-06-04
1184839235 Michael C Key Dentist 3875 E Southcross, Ste F, San Antonio, TX 78222 2007-05-11
1245359017 Celia S Faz Home Health Aide 5511 Firestar Trail, San Antonio, TX 78222 2007-03-29
1730272501 Best Fit Prosthetics LLC Durable Medical Equipment & Medical Supplies 3859 E Southcross, Ste H, San Antonio, TX 78222 2006-10-02
1326150806 Angela E Adams Nurse Practitioner 4243 E Southcross Blvd Ste 204, San Antonio, TX 78222 2006-08-31
1063435105 Mark David Mutschink Physical Therapist 3875 E Southcross, Ste B, Ryke Physical Therapy & Sports Medicine, San Antonio, TX 78222 2006-07-26
1548210636 Cameron Brent Elam Physical Therapist 3875 East Southcross, Ste B, Ryke Physical Therapy & Sports Medicine, San Antonio, TX 78222 2006-05-11
Find all providers in zip 78222

Taxonomy Information

Taxonomy Code 207V00000X
Grouping Allopathic & Osteopathic Physicians
Classification Obstetrics & Gynecology

Taxonomy Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1457972721 Brynna Lynch Obstetrics & Gynecology 11212 State Highway 151 Ste 120, San Antonio, TX 78251-4498 2020-04-28
1174091458 Community Birth Group Obstetrics & Gynecology 216 Tower Rd, San Antonio, TX 78223-6018 2018-11-05
1982184370 Sarah Lewis Obstetrics & Gynecology 502 Madison Oak Dr Ste 440, San Antonio, TX 78258-4189 2018-08-15
1023463981 Viviana Salom Ellis Obstetrics & Gynecology 4458 Medical Center Drive, Suite 705, San Antonio, TX 78229 2016-04-28
1073967642 Erika Price Obstetrics & Gynecology 7711 Louis Pasteur Dr Ste 808, San Antonio, TX 78229-3412 2016-04-20
1639537137 Alexander Golab Obstetrics & Gynecology 3518 Puesta De Sol, San Antonio, TX 78261-2415 2016-01-29
1699157495 Samantha Gonzalez Obstetrics & Gynecology 7430 Barlite Blvd Ste 105, San Antonio, TX 78224 2015-06-29
1457746232 Amy Johnson Gonzales Obstetrics & Gynecology 11212 State Highway 151 Medical Plaza 2, Suite 350, San Antonio, TX 78251 2015-03-30
1043601206 Abraham A Alecozay Md Pa Phd Obstetrics & Gynecology 7430 Barlite Suite 105, San Antonio, TX 78224 2015-02-10
1003228776 Stephanie Schaefer Obstetrics & Gynecology 525 Oak Centre Dr Ste 300, San Antonio, TX 78258-3916 2014-05-28
Find all providers in SAN ANTONIO

Competitor

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City SAN ANTONIO
Zip Code 78222

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Dataset Information

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.

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