DR. JACOB GERALD DODD (NPI# 1609396845) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1609396845 |
Entity Type | Individual |
Full Name | DR. JACOB GERALD DODD |
Credential | DO |
Practice Address |
1100 Wilford Hall Loop Bldg 4554 San Antonio TX 78236 |
Mailing Address |
1100 Wilford Hall Loop Bldg 4554 San Antonio TX 78236-5638 |
Practice Telephone | 2102928808 |
Practice Fax Number | 2102928200 |
Mailing Telephone | 2102928808 |
Mailing Fax Number | 2102928200 |
Enumeration Date | 2017-06-20 |
Last Update Date | 2019-01-14 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 208D00000X | General Practice | 1928 | NE | Allopathic & Osteopathic Physicians |
Address | Telephone Number | Fax Number |
---|---|---|
5005 N. Piedras St., William Beaumont Army Medical Center, El Paso, TX 799205001 | (915) 742-2597 | 9157426668 |
Street Address |
1100 WILFORD HALL LOOP BLDG 4554 |
City | SAN ANTONIO |
State | TX |
Zip Code | 78236 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1114410255 | Alyssa-joy Talon Oviatt | Dentist | 1100 Wilford Hall Loop Bldg 4554, San Antonio, TX 78236-5638 | 2018-06-13 |
1841664646 | Precious Jones | Social Worker | 1100 Wilford Hall Loop Bldg 4554, San Antonio, TX 78236 | 2015-11-18 |
1467828913 | Valerie Say Martinez | Social Worker | 1100 Wilford Hall Loop Bldg 4554, San Antonio, TX 78236-5638 | 2015-08-19 |
1114303815 | Karen Torres | Counselor | 1100 Wilford Hall Loop Bldg 4554, San Antonio, TX 78236-5638 | 2015-08-04 |
1952781379 | Janelle Gyorffy | Internal Medicine | 1100 Wilford Hall Loop Bldg 4554, San Antonio, TX 78236 | 2015-06-01 |
1457746364 | David Robert Stachniak | Pediatrics | 1100 Wilford Hall Loop Bldg 4554, San Antonio, TX 78236 | 2015-03-30 |
1265824742 | Christopher Bailey | General Practice | 1100 Wilford Hall Loop Bldg 4554, San Antonio, TX 78236-5638 | 2015-02-20 |
1740692276 | Lesli Tristan | General Practice | 1100 Wilford Hall Loop Bldg 4554, San Antonio, TX 78236 | 2014-06-02 |
1225376726 | Milton R Miranda | Pediatrics | 1100 Wilford Hall Loop Bldg 4554, San Antonio, TX 78236 | 2013-01-18 |
1477829943 | Timothy Edward Sommerville | Internal Medicine | 1100 Wilford Hall Loop Bldg 4554, Attn: 59 Mdw/sghc, San Antonio, TX 78236 | 2012-03-28 |
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 | 208D00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | General Practice |
Definition to come... |
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1063909158 | Benjamin Walker Appelo | General Practice | San Antonio Mil Med Center 3551 Roger Brooke Dr, Mche-zdm-m, San Antonio, TX 78234 | 2018-04-16 |
1295231017 | Matthew Hagen | General Practice | Sammc Im Residency, 3551 Roger Brooke Dr., Jbsa-fort Sam Houston, San Antonio, TX 78234-4504 | 2018-04-02 |
1881197945 | Caitlin Leigh Castle | General Practice | Uthscsa Dept. of Psychiatry, 7703 Floyd Curl Drive, Mail Code 7792, San Antonio, TX 78229-3900 | 2018-03-15 |
1710480025 | Patrick Richard Notini | General Practice | 7703 Floyd Curl Dr, Mail Code 7792, San Antonio, TX 78229-3900 | 2018-03-13 |
1316477821 | San Antonio Weightloss LLC | General Practice | 11212 State Highway 151 Ste 210, San Antonio, TX 78251-4501 | 2017-06-16 |
1336675396 | Morgan S Hardy | General Practice | 7703 Floyd Curl Dr. Rm 717.f4, Department of Psychiatry, San Antonio, TX 78229-3900 | 2017-05-11 |
1730542853 | Sylvester Luu | General Practice | San Antonio Military Medical Center Mche-zdm-m Internal, Medicine, 3551 Roger Brooke Dr., Jbsa-fort Sam Houston, San Antonio, TX 78234-4504 | 2016-04-05 |
1013384866 | Klarisana Physician Services Pllc | General Practice | 8600 Wurzbach Rd Ste 1110, San Antonio, TX 78240 | 2015-08-27 |
Find all providers in SAN ANTONIO |
City | SAN ANTONIO |
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.