CAMBRIDGE CLINIC OF SAN ANTONIO, LLC


Address: 4242 Woodcock Dr Ste 210, San Antonio, TX 78228-1336
Phone: 8003331980

CAMBRIDGE CLINIC OF SAN ANTONIO, LLC (NPI# 1528204450) 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) 1528204450
Entity Type Organization
Organization Name CAMBRIDGE CLINIC OF SAN ANTONIO, LLC
Practice Address 4242 Woodcock Dr Ste 210
San Antonio
TX 78228-1336
Mailing Address 905 S Highway Dr
Ste 305
Fenton
MO 63026
Practice Telephone 8003331980
Practice Fax Number 6363269735
Mailing Telephone 8003331980
Mailing Fax Number 6363269735
Enumeration Date 2008-12-24
Last Update Date 2009-01-27
Authorized Official Name MR. JON P HENDRICKS (PRESIDENT)
Authorized Official Telephone 8003331980
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208800000X Urology Allopathic & Osteopathic Physicians

Office Location

Street Address 4242 WOODCOCK DR STE 210
City SAN ANTONIO
State TX
Zip Code 78228-1336

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1770064206 Isabel Cristina Moreno Licensed Vocational Nurse 5419 Shivalik Way, San Antonio, TX 78228 2018-08-23
1053846097 Miguel Angel Hernandez Counselor 3615 Culebra Road, San Antonio, TX 78228 2017-04-27
1841724424 Amber Fragoso Specialist/Technologist 1 Camino Sanata Maria, San Antonio, TX 78228 2017-04-20
1184175937 John Amundson IIi Counselor 4243 E Piedras Dr # 100, San Antonio, TX 78228 2016-10-17
1215487475 Compassus Op of Texas LLC Hospice Care, Community Based 4242 E Piedras Dr, Suite 200, San Antonio, TX 78228 2016-10-11
1407220130 Jessica Marie Hernandez-benavidez Counselor 2939 W. Woodlawn, Buidling 2, San Antonio, TX 78228 2015-11-18
1720494214 Early Trail Inc Assisted Living Facility 322 Early Trail, San Antonio, TX 78228 2014-07-07
1992117717 R A Alvarado Medical Pllc Pain Medicine 4100 E Piedras Dr Ste 165, San Antonio, TX 78228 2014-05-28
1447681606 Smile Kings Bandera, Pllc Dentist 919 Bandera Rd. Ste 101, San Antonio, TX 78228 2013-12-12
1811230345 Gwendolyn Holland Registered Nurse 5310 Arrowhead Dr, San Antonio, TX 78228 2013-04-03
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Taxonomy Information

Taxonomy Code 208800000X
Grouping Allopathic & Osteopathic Physicians
Classification Urology

Taxonomy Definition

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1508204181 John Lavin Urology 7909 Fredericksburg Rd Ste 120, San Antonio, TX 78229 2013-06-05
1881038412 Jose De La Cerda IIi Urology 3327 Research Plz Ste 403, San Antonio, TX 78235-5159 2013-04-25
1972896777 Daniel Zainfeld Urology 7909 Fredericksburg Rd Ste 130, San Antonio, TX 78229 2011-05-26
1720309685 Daniel Alberto Yelfimov Urology 7909 Fredericksburg Road Suite 130, San Antonio, TX 78229-3400 2010-06-15
1669509006 Samuel Hakim Urology 11212 Highway 151, Suite # 180, San Antonio, TX 78251-4498 2007-02-27
1245378124 Jeffrey Leslie Urology 4499 Medical Dr Ste 347, San Antonio, TX 78229-3853 2007-02-02
1295748739 Rufino Salinas Urology 205 E Evergreen St, San Antonio, TX 78212-4316 2006-08-15
1326028713 Thomas K O'neill Urology 3327 Research Plaza, Sute 403, San Antonio, TX 78235 2006-01-20
1710967831 Joan T Meaney Urology 7434 Louis Pasteur Dr, Ste 215, San Antonio, TX 78229-4540 2006-01-17
1710967732 Rene A Sepulveda Urology 8300 Floyd Curl Dr Fl 4, San Antonio, TX 78229-3931 2006-01-17
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Competitor

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City SAN ANTONIO
Zip Code 78228

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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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