SCOTT ZELASKO (NPI# 1558577981) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1558577981 |
Entity Type | Individual |
Full Name | SCOTT ZELASKO |
Credential | M.D. |
Practice Address |
1100 Wilford Hall Loop 59 Rsq Jbsa Lackland TX 78236-5638 |
Practice Telephone | 7074237182 |
Mailing Telephone | 2109259729 |
Enumeration Date | 2007-05-15 |
Last Update Date | 2020-08-14 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
A124082 | CA | Allopathic & Osteopathic Physicians |
N | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
MD-12596 | HI | Allopathic & Osteopathic Physicians |
Street Address |
1100 WILFORD HALL LOOP 59 RSQ |
City | JBSA LACKLAND |
State | TX |
Zip Code | 78236-5638 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1134113954 | Monica L. Wheaton | Advanced Practice Midwife | 1100 Wilford Hall Loop, Jbsa Lackland, TX 78236-5638 | 2005-09-08 |
1811509763 | Megan Dial | Physical Therapist | 1100 Wilford Hall Loop, Jbsa Lackland, TX 78236-5638 | 2020-08-21 |
1821614538 | Matthew Hetrick | Military Health Care Provider | 1100 Wilford Hall Loop, Jbsa Lackland, TX 78236-5638 | 2020-06-18 |
1689297368 | Rachel E Hodge | Nurse Practitioner | 1100 Wilford Hall Loop, Jbsa Lackland, TX 78236-5638 | 2020-05-28 |
1598385742 | Tora Jean Tornbom | Student in an Organized Health Care Education/Training Program | 1100 Wilford Hall Loop, Bldg 4554, 59 Mdw/gme, Jbsa Lackland, TX 78236-5638 | 2020-04-17 |
1689236622 | Jessica Martinez Bennett | Nurse Practitioner | 1100 Wilford Hall Loop, Jbsa Lackland, TX 78236-5638 | 2019-06-29 |
1073172565 | Robert A Kowtoniuk | General Practice | 1100 Wilford Hall Loop, Jbsa Lackland, TX 78236-5638 | 2019-06-10 |
1972167161 | Jordan Ellis | Psychologist | 1100 Wilford Hall Loop, Bldg. 4554, 59 Mdw/gme, Jbsa Lackland, Jbsa Lackland, TX 78236 | 2019-04-24 |
1124580311 | Christopher Berrios | Military Health Care Provider | 1100 Wilford Hall Loop, Jbsa Lackland, TX 78236-5638 | 2019-04-05 |
1801352539 | Aeja Weiss | Student in an Organized Health Care Education/Training Program | 1100 Wilford Hall Loop, Jbsa Lackland, TX 78236-5638 | 2019-02-19 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1063047363 | Arnoldo Arturo Gonzalez Jr. | Specialist/Technologist | 1033 Truemper St, Lackland Afb, TX 78236 | 2020-03-06 |
1023643343 | Meredith Grace Cockerell | Specialist/Technologist | W Military Drive, San Antonio, TX 78236 | 2020-03-06 |
1578120598 | Hali Rashelle Hall | Dentist | 1615 Truemper St, Blg 6418, Attn: 59ds/sgdn, Jbsa Lackland, TX 78236 | 2019-05-24 |
1952967077 | Paul Fianza Boseman | Nurse Practitioner | 1106 Wilford Hall Loop, San Antonio, TX 78236 | 2019-05-14 |
1689161978 | Kelly Jones Buckshire | Dentist | Dunn Dental Clinic, 1615 Truemper Rd, San Antonio, TX 78236 | 2018-04-23 |
1902308570 | Roger Louis Farney | Student in an Organized Health Care Education/Training Program | 1100 Wilford Hall Loop Bldg. 4554, Jbsa Lackland Afb, TX 78236 | 2018-02-28 |
1568916856 | Thomas Maxwell Woolf | Dentist | 1100 Wilford Hall Ambulatory Surgical Center, Lackland Afb, TX 78236 | 2016-08-04 |
1831544956 | Michael Veronneau | Student in an Organized Health Care Education/Training Program | 59 Mdw/ge 1100 Wilford Hall Loop, Bldg. 4554, Jbsa Lackland, TX 78236 | 2016-04-26 |
1376906958 | David Kephart Jr. | General Practice | 1100 Wilford Hall Loop Bldg 4454, Jbsa Lackland, TX 78236 | 2016-04-01 |
1184084089 | Olivia Arballo | Dermatology | Wilford Hall Asc, Attn: Dept of Dermatology, 1100 Wilford Hall Loop Bldg 4554, Jbsa-lackland, TX 78236 | 2016-03-04 |
Find all providers in zip 78236 |
Taxonomy Code | 2085R0202X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Radiology |
Specialization | Diagnostic Radiology |
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
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 Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1215327762 | Sarah Pettyjohn | Radiology | 1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, TX 78236-5638 | 2015-02-04 |
1730421918 | Chad Todd Christensen | Radiology | 1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, TX 78236-5638 | 2013-03-26 |
1972845519 | Jeremy Michael Bernot | Radiology | 1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, TX 78236-5638 | 2013-03-21 |
1093013260 | Christopher James Atkinson | Radiology | 1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, TX 78236 | 2011-03-11 |
1720202468 | Douglas William Byerly | Radiology | 1100 Wilford Hall Loop, Bldg 4554, Attn: 59 Mdw/sghc, Jbsa Lackland, TX 78236-9908 | 2007-04-12 |
1942216742 | Hai M Tien | Radiology | 1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, TX 78236 | 2006-08-01 |
1487645925 | Kara M Van De Kieft | Radiology | 1100 Wilford Hall Loop, Bldg 4554, Attn: 59 Mdw/sghc, Jbsa Lackland, TX 78236-9908 | 2005-11-03 |
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Find all providers with the same taxonomy |
City | JBSA LACKLAND |
Zip Code | 78236 |
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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.