GUADALUPE REGIONAL MEDICAL GROUP (NPI# 1578873717) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578873717 |
| Entity Type | Organization |
| Organization Name | GUADALUPE REGIONAL MEDICAL GROUP |
| Practice Address |
1215 E Court St Seguin TX 78155-5129 |
| Mailing Address |
562 S Hwy 123 Byp Pmb #196 Seguin TX 78155-9752 |
| Practice Telephone | 8303792411 |
| Mailing Telephone | 8303792411 |
| Enumeration Date | 2010-10-20 |
| Last Update Date | 2020-02-05 |
| Authorized Official Name | PENNY K WALLACE (CFO) |
| Authorized Official Telephone | 8303792411 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207VX0000X |
Obstetrics & Gynecology Specialization: Obstetrics |
Allopathic & Osteopathic Physicians | ||
| N | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
Allopathic & Osteopathic Physicians | ||
| Y | 208800000X | Urology | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | BLUE CROSS BLUE SHIELD | 0039WC | 01 |
| TX | 219512501 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114559432 | Guadalupe Regional Medical Group | Clinic/Center | 1761 S. State Hwy 46, Suite 104, New Braunfels, TX 78130 | 2020-02-05 |
| Street Address |
1215 E COURT ST |
| City | SEGUIN |
| State | TX |
| Zip Code | 78155-5129 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720088123 | Guadalupe County Hospital Board | General Acute Care Hospital | 1215 E Court St, Seguin, TX 78155-5129 | 2005-07-28 |
| 1134733652 | Sterling Smith | Nurse Practitioner | 1215 E Court St, Seguin, TX 78155-5129 | 2020-09-02 |
| 1780229948 | Makenzi Burke | Physician Assistant | 1215 E Court St, Seguin, TX 78155-5129 | 2019-11-12 |
| 1710543939 | Shannon Michelle Jetton | Nurse Practitioner | 1215 E Court St, Seguin, TX 78155-5129 | 2019-05-13 |
| 1942764832 | Russell Wayne Steitle | Nurse Practitioner | 1215 E Court St, Seguin, TX 78155-5129 | 2019-01-25 |
| 1760847149 | Lori Ann Redix | Nurse Anesthetist, Certified Registered | 1215 E Court St, Seguin, TX 78155-5129 | 2015-12-29 |
| 1790161875 | Matthew Woelk | Dietitian, Registered | 1215 E Court St, Seguin, TX 78155-5129 | 2015-07-30 |
| 1487040028 | Jessica Drees | Dietitian, Registered | 1215 E Court St, Seguin, TX 78155-5129 | 2015-04-10 |
| 1194128108 | Robyn Ann Majors | Dietitian, Registered | 1215 E Court St, Seguin, TX 78155-5129 | 2014-10-04 |
| 1447510011 | Juan Enrrique Arenas-herrera | Internal Medicine | 1215 E Court St, Seguin, TX 78155-5129 | 2012-05-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417506098 | Brian Christianson | Specialist/Technologist | 1000 W. Court St, Athletic Training Clinic, Seguin, TX 78155 | 2019-09-06 |
| 1164903035 | Danie Marie Clifton | Licensed Vocational Nurse | 1265 Rawhide Rd, Seguin, TX 78155 | 2018-08-28 |
| 1871010959 | Lora Marie Varela | Occupational Therapy Assistant | 562 South Highway 123 Bypass, 224, Seguin, TX 78155 | 2017-08-29 |
| 1295251924 | Anas Hakimeh | Dentist | 901 N Hwy 123 Bypass, Seguin, TX 78155 | 2017-08-15 |
| 1225560774 | Amanda Shoemaker | Student in an Organized Health Care Education/Training Program | 1000 W. Court St., Seguin, TX 78155 | 2017-04-03 |
| 1952784670 | Evelyne Merab Matunda | Nurse Practitioner | 1350 Ashby St, Seguin, TX 78155 | 2015-06-30 |
| 1558798520 | Sound Asleep Dme | Durable Medical Equipment & Medical Supplies | 519 N. King St, Ste. 104, Seguin, TX 78155 | 2013-10-04 |
| 1154673101 | Lara A Perry Dds Pa | Dentist | 317 S Texas 46, Seguin, TX 78155 | 2012-10-15 |
| 1013222488 | Remarkable Healthcare of Seguin, Lp | Skilled Nursing Facility | 1339 Eastwood Drive, Seguin, TX 78155 | 2010-08-10 |
| 1750695342 | Ritchie Limb & Brace, LLC | Prosthetic/Orthotic Supplier | 1069 E. Gonzales, Seguin, TX 78155 | 2010-08-06 |
| Find all providers in zip 78155 | ||||
| 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 |
|---|---|---|---|---|
| 1780764258 | Robert Thomas Ryan IIi | Urology | 1339 E Court Street, Suite 220, Seguin, TX 78155-5141 | 2006-10-17 |
| 1225118706 | Howard D Solomon Md Pa | Urology | 1255 Ashby St, Seguin, TX 78155-5118 | 2006-10-17 |
| 1992802193 | Howard David Solomon | Urology | 1255 Ashby St, Seguin, TX 78155-5118 | 2006-09-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518573765 | William Cooper Buschemeyer IIi, M.d. P.a. | Urology | 26620 Interstate 45-north, The Woodlands, TX 77386 | 2020-09-22 |
| 1619587169 | Jasgurpreet Singh | Urology | 4310 Dunlavy St Apt 350, Houston, TX 77006-5312 | 2020-08-08 |
| 1215443064 | Greater Austin Urology, Pllc | Urology | 11673 Jollyville Rd Ste B101, Austin, TX 78759 | 2017-12-15 |
| 1649780453 | Paul Bradley Md Pllc | Urology | 703 E Marshall Ave Ste 4009, Longview, TX 75601-5500 | 2017-10-06 |
| 1154857977 | Darren M. Chapman M.d., Pllc | Urology | 10970 Shadow Creek Pkwy # 255, Pearland, TX 77584-0100 | 2017-05-11 |
| 1114308467 | Kashyap Shatagopam | Urology | 1900 Scenic Dr Ste 2222, Georgetown, TX 78626-7703 | 2015-06-12 |
| 1114311933 | Marshall Stein | Urology | 7777 Southwest Fwy Ste 540, Houston, TX 77074-1809 | 2015-03-19 |
| 1023401510 | Robert A Bloom Md Pllc | Urology | 416 S. Henderson St., Fort Worth, TX 76104 | 2015-03-09 |
| 1366853152 | Lawrence Tsai | Urology | 12319 N Mopac Expy Ste 200, Austin, TX 78758-2497 | 2014-05-14 |
| 1558780031 | Rachel Sosland | Urology | 4207 James Casey St Ste 107, Austin, TX 78745-1192 | 2014-04-10 |
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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.