DR. BLAYNE K STREET (NPI# 1568811636) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568811636 |
| Entity Type | Individual |
| Full Name | DR. BLAYNE K STREET |
| Credential | D.O. |
| Practice Address |
11130 Christus Hills Medical Plaza 3, 3rd Fl San Antonio TX 78251-3585 |
| Practice Telephone | 2107039001 |
| Practice Fax Number | 2107039155 |
| Mailing Telephone | 2107039001 |
| Mailing Fax Number | 2107039155 |
| Enumeration Date | 2016-06-08 |
| Last Update Date | 2020-07-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208000000X | Pediatrics | BP10056128 | VA | Allopathic & Osteopathic Physicians |
| Y | 2080S0010X |
Pediatrics Specialization: Sports Medicine |
S6314 | TX | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| School of Medicine, 3601 4th Street, Lubbock, TX 794300001 | 8067436148 |
| Street Address |
11130 CHRISTUS HILLS MEDICAL PLAZA 3, 3RD FL |
| City | SAN ANTONIO |
| State | TX |
| Zip Code | 78251-3585 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881699361 | Maria D Ballesteros | Family Medicine | 11130 Christus Hills, 3rd Floor, San Antonio, TX 78251 | 2005-06-20 |
| 1174147516 | Juan Camilo Leuro | Student in an Organized Health Care Education/Training Program | 11130 Christus Hills, Medical Plaza 3, 3rd Floor, San Antonio, TX 78251-3585 | 2020-06-02 |
| 1073137436 | Yen-linh Krantz | Student in an Organized Health Care Education/Training Program | 11130 Christus Hills, Medical Plaza 3, 3rd Fl, San Antonio, TX 78251-3585 | 2020-06-02 |
| 1841814209 | Humberto Trevino | Student in an Organized Health Care Education/Training Program | 11130 Christus Hills, Medical Plaza 3, 3rd Fl, San Antonio, TX 78251 | 2020-06-02 |
| 1538783840 | Juan E Vargas | Student in an Organized Health Care Education/Training Program | 11130 Christus Hills, Medical Plaza 3, 3rd Fl, San Antonio, TX 78251 | 2020-06-02 |
| 1659995132 | Rachelle Hamblin | Student in an Organized Health Care Education/Training Program | 11130 Christus Hills, Medical Plaza 3, 3rd Floor, San Antonio, TX 78251-3585 | 2020-06-01 |
| 1194349597 | David B Parker IIi | Student in an Organized Health Care Education/Training Program | 11130 Christus Hills, Medical Plaza 3, 3rd Fl, San Antonio, TX 78251-3585 | 2020-06-01 |
| 1194349639 | Nicholas Gaskill | Student in an Organized Health Care Education/Training Program | 11130 Christus Hills, Medical Plaza 3, 3rd Fl, San Antonio, TX 78251-3585 | 2020-06-01 |
| 1063036465 | Amanda Jo Reiner | Student in an Organized Health Care Education/Training Program | 11130 Christus Hills, Medical Plaza 3, 3rd Fl, San Antonio, TX 78251-3585 | 2020-06-01 |
| 1750904231 | Anthony Gallegos | Student in an Organized Health Care Education/Training Program | 11130 Christus Hills, Medical Plaza 3, 3rd Floor, San Antonio, TX 78251-3585 | 2020-05-19 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255930558 | Iyobosasere Ighoroje | Nurse Practitioner | 11212 Tx - 151, San Antonio, TX 78251 | 2020-10-19 |
| 1528679933 | Michael Medina | Registered Nurse | 1224 Leonard Hunt, San Antonio, TX 78251 | 2020-08-11 |
| 1528676053 | Calm Spring Dental | Clinic/Center | 11034 W Military Drive, Suite 104, San Antonio, TX 78251 | 2020-07-21 |
| 1659917169 | Brianna Ashly Garcia | Behavioral Analyst | 3002 Culebra Rd, 105, San Antonio, TX 78251 | 2019-11-19 |
| 1245892751 | Rodolfo Eloy Zapata | Behavior Technician | 9032 Dugas Rd Apt 118, San Antonio, TX 78251 | 2019-07-03 |
| 1174188718 | Kesar Family Pllc | Internal Medicine | 3303 Rodgers Road, Suite 250, San Antonio, TX 78251 | 2019-05-09 |
| 1730657313 | Culebra Meadows Dental Partners Pllc | Dentist | 7895 Culebra Rd., San Antonio, TX 78251 | 2018-11-13 |
| 1720563299 | San Juanita Villanueva | Specialist/Technologist | 10618 Cat Mountain, San Antonio, TX 78251 | 2018-10-01 |
| 1316421506 | Westover Hills Primary Care | Family Medicine | 9022 Culebra Rd, Ste 112, San Antonio, TX 78251 | 2018-09-24 |
| 1649750894 | Alejandro Rodriguez Flores | Physical Therapy Assistant | 9922 Tx-151, San Antonio, TX 78251 | 2018-08-17 |
| Find all providers in zip 78251 | ||||
| Taxonomy Code | 2080S0010X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Sports Medicine |
| A pediatrician who is responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the healthcare of the individual engaged in physical exercise (sports) whether as an individual or in team participation. |
| 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/certification - 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 |
|---|---|---|---|---|
| 1366941981 | Kimberly Anne Foster | Pediatrics | 23203 Bulverde Rd, San Antonio, TX 78259-2203 | 2018-02-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598119315 | Allison Baran | Pediatrics | 7211 Preston Rd, Plano, TX 75024 | 2016-04-18 |
| 1467750612 | Bert Milton Franks | Pediatrics | 6812 Riverridge Rd, Ft Worth, TX 76116-9355 | 2011-03-10 |
| 1417984055 | Karen M Kirk | Pediatrics | 701 Interstate 20 E, Arlington, TX 76018-1130 | 2006-06-27 |
| 1023520509 | Medcare Pediatric Group, Lp | Pediatrics | 12371 S Kirkwood Rd, Stafford, TX 77477-2836 | 2017-10-24 |
| 1073988895 | Lindsey Pereira Sebastian | Pediatrics | 7211 Preston Rd Ste 1200, Plano, TX 75024-0238 | 2015-12-04 |
| 1871964122 | University of Dallas | Pediatrics | 1845 E Northgate Dr, Maher Athletic Center, Irving, TX 75062-4736 | 2015-10-13 |
| 1770923294 | Jennifer L. Johnson, Md Pllc | Pediatrics | 4351 Ridgemont Dr, Suite A, Abilene, TX 79606-8701 | 2013-06-28 |
| 1952538290 | Jacel Craig Brooks | Pediatrics | 11800 Fm 1960 Rd W, Houston, TX 77065-3840 | 2009-06-13 |
| 1487829719 | Shane Michael Miller | Pediatrics | 5700 Dallas Pkwy, Frisco, TX 75034-9580 | 2008-04-28 |
| 1073787024 | Jennifer Leigh Johnson | Pediatrics | 4351 Ridgemont Dr, Suite A, Abilene, TX 79606-8701 | 2008-04-21 |
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| City | SAN ANTONIO |
| Zip Code | 78251 |
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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.