CCN MEDICAL SERVICES LLC


Address: 1901 Babcock Rd, Suite 102, San Antonio, TX 78229-4554
Phone: 2106086213

CCN MEDICAL SERVICES LLC (NPI# 1518396589) 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) 1518396589
Entity Type Organization
Organization Name CCN MEDICAL SERVICES LLC
Practice Address 1901 Babcock Rd
Suite 102
San Antonio
TX 78229-4554
Mailing Address Po Box 320
Bulverde
TX 78163-0320
Practice Telephone 2106086213
Practice Fax Number 2105192939
Mailing Telephone 2106086213
Mailing Fax Number 2105192939
Enumeration Date 2013-11-11
Last Update Date 2016-09-01
Authorized Official Name CHARLOTTE D BALLARD (PRESIDENT)
Authorized Official Telephone 2106086213
Authorized Official Credential NP
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207Q00000X Family Medicine Allopathic & Osteopathic Physicians
N 2084P0800X Psychiatry & Neurology
Specialization: Psychiatry
Allopathic & Osteopathic Physicians
N 213E00000X Podiatrist Podiatric Medicine & Surgery Service Providers
N 101Y00000X Counselor Behavioral Health & Social Service Providers
N 1041C0700X Social Worker
Specialization: Clinical
Behavioral Health & Social Service Providers
Y 363LF0000X Nurse Practitioner
Specialization: Family
Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
TX 329924001 05

Office Location

Street Address 1901 BABCOCK RD
SUITE 102
City SAN ANTONIO
State TX
Zip Code 78229-4554

Providers in the same location

NPI Name Taxonomy Address Enumeration
1568468791 Patrick F. Glasow Pediatrics 1901 Babcock Rd, Suite 301, San Antonio, TX 78229-4554 2005-06-22
1205468683 Southlake Bnpt Investment LLC Clinic/Center 1901 Babcock Rd, San Antonio, TX 78229-4554 2020-02-04
1811444698 Michelle Marie Marshall Counselor 1901 Babcock Rd, Ste. 102, San Antonio, TX 78229-4554 2016-09-08
1942682869 Wound Care and Limb Salvage Specialty Group Preventive Medicine 1901 Babcock Rd, Suite 200, San Antonio, TX 78229-4554 2015-06-27
1811255714 Phillip Harrison Prosthetist 1901 Babcock Rd, San Antonio, TX 78229-4554 2012-04-27
1184903866 Carrie M. Hanaoka Physical Therapy Assistant 1901 Babcock Rd, Suite 304, San Antonio, TX 78229-4554 2011-08-11
1376871004 Jessika Marie Garcia Physical Therapist 1901 Babcock Rd, Suite 204, San Antonio, TX 78229-4554 2009-11-18
1932366838 Forte Physical Therapy Clinic/Center 1901 Babcock Rd, Suite 204, San Antonio, TX 78229-4554 2008-05-19
1508030248 Kevin D Scott Dentist 1901 Babcock Rd, Suite 101, San Antonio, TX 78229-4554 2008-04-14
1952582074 Christopher L Curzon Pediatrics 1901 Babcock Rd, Suite 301, San Antonio, TX 78229-4554 2007-11-16
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1245857226 Lyndsey A Sandoval Optometrist 7400 Minton Miner St, San Antonio, TX 78229 2020-06-25
1295355311 Nicolet Finger Student in an Organized Health Care Education/Training Program 7703 Floyd Curl Drive, Mc 7798, San Antonio, TX 78229 2020-04-18
1215557400 Amy Elizabeth Werry Clinical Neuropsychologist 7703 Floyd Circle Drive, San Antonio, TX 78229 2020-04-17
1740822972 Mohammad Safaie Yazdi Student in an Organized Health Care Education/Training Program Ut Health Science Center At San Antonio- Agdc, 8210 Floyd Curl Dr., Msc 8103, San Antonio, TX 78229 2019-10-09
1063053072 Blas Edward Villa Nurse Practitioner 7703 Floyd Curl Drive Mc 7885 Pulmonary Diseases & Crit, Medicine, San Antonio, TX 78229 2019-10-01
1124673942 Integrity Dme Services LLC Durable Medical Equipment & Medical Supplies 6323 Sovereign Dr, Suite # 170 Ab, San Antonio, TX 78229 2019-08-08
1730734120 Marisa Erin Leyden Speech-Language Pathologist Joe R. & Teresa Lozano Long Campus, 7703 Floyd Curl Dr., San Antonio, TX 78229 2019-08-03
1285295741 Alireza Ghezavati Student in an Organized Health Care Education/Training Program 7703 Floyd Curl Drive Mc 7750, Department of Pathology and Laboratory Medicine, San Antonio, TX 78229 2019-06-25
1407410285 Denae Cheyenne Rushing Student in an Organized Health Care Education/Training Program 8201 Floyd Curl Drive, San Antonio, TX 78229 2019-04-26
1265993570 Shehzad Amlani Student in an Organized Health Care Education/Training Program Address: 7703 Floyd Curl Dr, San Antonio, TX 78229 2019-03-28
Find all providers in zip 78229

Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1184224834 Natasha Bakunda Nurse Practitioner Fountainhead One Tower, 8200 Ih-10 West, Ste 317, San Antonio, TX 78230 2020-10-30
1033719521 Macy Atkins Nurse Practitioner 6676 Utsa Blvd, San Antonio, TX 78249-5100 2020-10-26
1801494554 Yordanis Rafael Fonseca Vega Nurse Practitioner 12521 Nacogdoches Rd Ste 101, San Antonio, TX 78217-2117 2020-10-14
1255939237 Ashley Elizabeth Swartz Nurse Practitioner 9502 Huebner Rd Ste 101, San Antonio, TX 78240-1683 2020-10-13
1871190173 Cynthia B Elkins Nurse Practitioner 24806 Terlingua Bnd, San Antonio, TX 78261-2726 2020-10-08
1588270623 Amanda Razo Nurse Practitioner 6315 Welles Arbor Cir, San Antonio, TX 78240-2148 2020-09-23
1255946935 Norberto Hernandez Iv Nurse Practitioner 11501 Braesview Apt 3903, San Antonio, TX 78213-1262 2020-09-10
1033723655 Hira Mughal Nurse Practitioner 9850 Twinbear Crk, San Antonio, TX 78245-9596 2020-09-01
1366055675 Maria Christina Cruz Tijerina Nurse Practitioner 18518 Hardy Oak Blvd Apt 135, San Antonio, TX 78258-4759 2020-08-26
1225649593 Gina M Duron Nurse Practitioner 10730 Green Trail Dr, San Antonio, TX 78223-4224 2020-08-11
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Competitor

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City SAN ANTONIO
Zip Code 78229

Improve Information

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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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