INTEGRATED MEDICAL SERVICES LLC (NPI# 1588158752) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588158752 |
| Entity Type | Organization |
| Organization Name | INTEGRATED MEDICAL SERVICES LLC |
| Practice Address |
6609 Blanco Rd Ste 360 San Antonio TX 78216-6171 |
| Practice Telephone | 2106004105 |
| Mailing Telephone | 2106004105 |
| Enumeration Date | 2018-06-20 |
| Last Update Date | 2019-11-13 |
| Authorized Official Name | CHARLOTTE BALLARD (OWNER) |
| Authorized Official Telephone | 2106004105 |
| Authorized Official Credential | ENP-BC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | L1817 | TX | Allopathic & Osteopathic Physicians |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
AP107832 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
AP107832 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
AP107832 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578804522 | Integrated Medical Services LLC | Family Medicine | 4142 Carmichael Rd, Montgomery, AL 36106-2936 | 2013-03-14 |
| Street Address |
6609 BLANCO RD STE 360 |
| City | SAN ANTONIO |
| State | TX |
| Zip Code | 78216-6171 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902893324 | Charlotte D Ballard | Nurse Practitioner | 6609 Blanco Rd Ste 360, San Antonio, TX 78216-6171 | 2005-09-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376179820 | Damiana Lea Mcmahan | Speech-Language Pathologist | 12 Inter Park Blvd, #105, San Antonio, TX 78216 | 2020-03-17 |
| 1811530967 | Hacienda Hospice, Ltd | Hospice Care, Community Based | 101 W Silver Sands Dr, San Antonio, TX 78216 | 2019-10-22 |
| 1437792876 | Eddy Sidra | Optometrist | 7400 San Pedro Avenue, Suite 486, San Antonio, TX 78216 | 2019-10-17 |
| 1083256796 | Tiffany Michelle Goericke | Physical Therapist | 502 East Ramsey, San Antonio, TX 78216 | 2019-10-14 |
| 1780246942 | Esperanza Eating Disorders Center, Pllc | Clinic/Center | 403 E. Ramsey, Suite 204, San Antonio, TX 78216 | 2019-07-08 |
| 1568938314 | Lyric Lea Lewis | Licensed Vocational Nurse | 85 Ne Interstate 410 Loop #500, San Antonio, TX 78216 | 2018-10-19 |
| 1912488206 | Rebecca Anna Poppe | Licensed Vocational Nurse | 1514 Vista Del Norte, San Antonio, TX 78216 | 2018-08-24 |
| 1205338779 | Bailee Hannah Mokry | Behavioral Analyst | 11306 Sir Winston, San Antonio, TX 78216 | 2018-03-01 |
| 1487155677 | Ojer Corbie | Behavior Technician | 11310 Sir Winston At Bld D, San Antonio, TX 78216 | 2018-02-23 |
| 1366943631 | Briana Nicole Rodriguez | Behavior Technician | 14235 Blanco Road, San Antonio, TX 78216 | 2018-02-22 |
| Find all providers in zip 78216 | ||||
| Taxonomy Code | 363LP2300X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548882764 | Martha Ann Ruiz | Nurse Practitioner | 155 W Bonner Ave, San Antonio, TX 78214-2475 | 2020-05-11 |
| 1316583545 | Premier Providers Medclinc,pllc | Nurse Practitioner | 9130 Wurzbach Rd Ste 102, San Antonio, TX 78240-1070 | 2019-11-22 |
| 1215587365 | Beng Keong Ooi | Nurse Practitioner | 4315 Renault Dr, San Antonio, TX 78218-5034 | 2019-09-19 |
| 1548725658 | Jennifer Ybarra Dimas | Nurse Practitioner | 94 Briggs St Ste 400, San Antonio, TX 78224-1206 | 2019-02-02 |
| 1730658626 | Vanessa Mauricio | Nurse Practitioner | 14830 Peoples Dr, San Antonio, TX 78253-6234 | 2018-11-20 |
| 1275063331 | Bernadette Kucinski | Nurse Practitioner | 1222 N Main Ave Ste 115, San Antonio, TX 78212-5780 | 2017-06-12 |
| 1083079404 | Daja Carrick Hernandez | Nurse Practitioner | 2226 Bigmouth Rod, San Antonio, TX 78224-3155 | 2015-12-30 |
| 1619501723 | Crystal Monique Banda | Nurse Practitioner | 810 Se Military Dr, San Antonio, TX 78214-2823 | 2020-02-27 |
| 1588294300 | Premier Providers Medclinic, Pllc | Nurse Practitioner | 9130 Wurzbach Rd Ste 102, San Antonio, TX 78240-1070 | 2020-01-21 |
| 1710522040 | Angelita Estrada | Nurse Practitioner | 3939 Medical Dr Ste 100, San Antonio, TX 78229-2292 | 2019-11-11 |
| Find all providers in SAN ANTONIO | ||||
| City | SAN ANTONIO |
| Zip Code | 78216 |
Please comment or provide details below to improve the information on INTEGRATED MEDICAL SERVICES LLC.
| 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.