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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 208800000X | Urology | Allopathic & Osteopathic Physicians |
Street Address |
4242 WOODCOCK DR STE 210 |
City | SAN ANTONIO |
State | TX |
Zip Code | 78228-1336 |
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 |
Find all providers in zip 78228 |
Taxonomy Code | 208800000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Urology |
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. |
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 |
Find all providers in SAN ANTONIO |
City | SAN ANTONIO |
Zip Code | 78228 |
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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.