MRS. MICHELLE LYNN STORANDT (NPI# 1528009776) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1528009776 |
Entity Type | Individual |
Full Name | MRS. MICHELLE LYNN STORANDT |
Other Name | MICHELLE LYNN MOORE |
Credential | M.D. |
Practice Address |
20642 Stone Oak Pkwy Suite 105 San Antonio TX 78258-7362 |
Practice Telephone | 2104793000 |
Practice Fax Number | 2104793016 |
Mailing Telephone | 2104793000 |
Mailing Fax Number | 2104793016 |
Enumeration Date | 2006-06-09 |
Last Update Date | 2012-03-09 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 208000000X | Pediatrics | M0579 | TX | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
TX | MEDICAID-GOUP TPI | 173321401 | 01 |
TX | MEDICAID-GROUP EPSDT | 173321402 | 01 |
TX | GROUP NPI | 1265475891 | 01 |
TX | 169952201 | 05 |
Street Address |
20642 STONE OAK PKWY SUITE 105 |
City | SAN ANTONIO |
State | TX |
Zip Code | 78258-7362 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1548228927 | Steven M Bauer | Internal Medicine | 20642 Stone Oak Pkwy, Suite 108, San Antonio, TX 78258-7362 | 2006-05-03 |
1013186170 | Steven M. Bauer, M.d., Pa | Internal Medicine | 20642 Stone Oak Pkwy, Suite 108, San Antonio, TX 78258-7362 | 2008-02-22 |
1265475891 | Tejas Pediatrics, P.a. | Pediatrics | 20642 Stone Oak Pkwy, Suite 105, San Antonio, TX 78258-7362 | 2006-06-13 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1356980163 | Jeffrey M. Martinez, M.d., P.a. | Surgery | 525 Centre Oak Drive, Suite 140, San Antonio, TX 78258 | 2019-12-26 |
1588226211 | New Life Brace and Limb, LLC | Prosthetist | 300 E. Sonterra Blvd., Suite 220, San Antonio, TX 78258 | 2019-07-02 |
1720649080 | Miguel Ibarra | Pharmacist | 18866 Stone Oak Pkwy., St.101, San Antonio, TX 78258 | 2019-06-26 |
1528538113 | Kevin Scott Farnsworth | Dentist | 1130 E. Sonterra Blvd Suite 100, San Antonio, TX 78258 | 2018-11-27 |
1891262176 | Dentists of Stone Oak, PC | Dentist | 23714 Hardy Oak Blvd, Suite 110, San Antonio, TX 78258 | 2018-10-25 |
1003399437 | Jesus Alcala | Physical Therapist | 20821 Us Hwy 281 N, Ste 110, San Antonio, TX 78258 | 2018-09-11 |
1184106544 | Marissa Kaye Bruton | Occupational Therapist | 505 Madison Oak, San Antonio, TX 78258 | 2018-09-02 |
1508346933 | Desiree Carroll | Occupational Therapy Assistant | 18803 Hardy Oak Drive, San Antonio, TX 78258 | 2018-08-15 |
1700376456 | Conner Jay Mcnabb | Optometrist | 810 Knights Cross Dr Ste 101, San Antonio, TX 78258 | 2018-05-17 |
1982191516 | Freehand Solutions LLC | Chiropractor | Nec Stone Oak Parkway & Loop 1604, San Antonio, TX 78258 | 2018-04-19 |
Find all providers in zip 78258 |
Taxonomy Code | 208000000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Pediatrics |
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
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 Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1356951735 | Central Texas Diabetes & Wellness Institute | Pediatrics | 8428 Bandera Rd Ste 2, San Antonio, TX 78250-2514 | 2020-07-31 |
1306455530 | Z-pediatrics Pllc | Pediatrics | 5886 Dezavala Rd Suite 101 #510, San Antonio, TX 78249 | 2020-07-23 |
1821606062 | Alamo City Healthy Kids and Families, Pllc | Pediatrics | 1919 Oakwell Farms Pkwy Ste 125, San Antonio, TX 78218-1720 | 2020-07-14 |
1508403585 | Michelle Ann Portis | Pediatrics | 502 Madison Oak Dr Ste 245, San Antonio, TX 78258-4086 | 2019-12-09 |
1144782970 | Kelly L Thomas | Pediatrics | 10011 Ink Wells Dr, San Antonio, TX 78250-7011 | 2019-04-01 |
1407384605 | Whitney Taylor | Pediatrics | 8606 Village Dr Unit A, San Antonio, TX 78217-5506 | 2017-06-01 |
1811428147 | Karen Lee Garay | Pediatrics | 13750 San Pedro Ave Ste 150, San Antonio, TX 78232-4382 | 2017-03-27 |
1538510664 | Suzanna Elizabeth Maupin | Pediatrics | 7355 Barlite Blvd Ste 201, San Antonio, TX 78224-1340 | 2016-06-30 |
1366804866 | Allison Wells Morales | Pediatrics | 11085 Bandera Rd # 102, San Antonio, TX 78250-6814 | 2016-03-23 |
1275995771 | Pedro Zavala | Pediatrics | 11503 Nw Military Hwy Ste 113, San Antonio, TX 78231-1998 | 2016-03-23 |
Find all providers in SAN ANTONIO |
City | SAN ANTONIO |
Zip Code | 78258 |
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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.