MR. MITCHEL WADE SHANER (NPI# 1609806082) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1609806082 |
Entity Type | Individual |
Full Name | MR. MITCHEL WADE SHANER |
Practice Address |
3503 S Ww White Rd San Antonio TX 78222-5017 |
Mailing Address |
Mca Med Care Po Box 942 Adkins TX 78101-0942 |
Practice Telephone | 2103377772 |
Practice Fax Number | 2103379282 |
Mailing Telephone | 2103377772 |
Mailing Fax Number | 2103379282 |
Enumeration Date | 2006-07-03 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 3416L0300X |
Ambulance Specialization: Land Transport |
015109 | TX | Transportation Services |
State | Issuer | Identifier | Type Code |
---|---|---|---|
RAILROAD MEDICARE | P00195034 | 01 | |
TX | BLUE CROSS BLUE SHIELD TX | AMB700 | 01 |
Street Address |
3503 S WW WHITE RD |
City | SAN ANTONIO |
State | TX |
Zip Code | 78222-5017 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1255448908 | Medcare Ambulance Inc | Ambulance | 3503 S Ww White Rd, San Antonio, TX 78222-5017 | 2006-08-25 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1285164897 | Kimberly Smith | Contractor | 2607 Lakebriar St, San Antonio, TX 78222 | 2017-06-15 |
1801045257 | Perly Lee Sheffield | Case Manager/Care Coordinator | 5518 Elk Hunter Tr., San Antonio, TX 78222 | 2008-09-10 |
1689822447 | James Edward Williams | Family Medicine | 3859 E Southcross Blvd Ste C, San Antonio, TX 78222 | 2008-09-05 |
1508025693 | Southcross Surgical Center, LLC | Clinic/Center | 4025 E. Southcross, Bldg 3 Ste. 15, San Antonio, TX 78222 | 2008-06-04 |
1184839235 | Michael C Key | Dentist | 3875 E Southcross, Ste F, San Antonio, TX 78222 | 2007-05-11 |
1245359017 | Celia S Faz | Home Health Aide | 5511 Firestar Trail, San Antonio, TX 78222 | 2007-03-29 |
1730272501 | Best Fit Prosthetics LLC | Durable Medical Equipment & Medical Supplies | 3859 E Southcross, Ste H, San Antonio, TX 78222 | 2006-10-02 |
1326150806 | Angela E Adams | Nurse Practitioner | 4243 E Southcross Blvd Ste 204, San Antonio, TX 78222 | 2006-08-31 |
1063435105 | Mark David Mutschink | Physical Therapist | 3875 E Southcross, Ste B, Ryke Physical Therapy & Sports Medicine, San Antonio, TX 78222 | 2006-07-26 |
1548210636 | Cameron Brent Elam | Physical Therapist | 3875 East Southcross, Ste B, Ryke Physical Therapy & Sports Medicine, San Antonio, TX 78222 | 2006-05-11 |
Find all providers in zip 78222 |
Taxonomy Code | 3416L0300X |
Grouping | Transportation Services |
Classification | Ambulance |
Specialization | Land Transport |
Definition to come... |
Notes: [1/1/2005: title modified] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1295242147 | Movers Technicians of Texas Corp | Ambulance | 610 Lanark Dr Ste 206, San Antonio, TX 78218-1844 | 2018-01-01 |
1811294200 | South Medcare Ambulance Inc. | Ambulance | 9207 Marbach Rd Ste 204, San Antonio, TX 78245-1819 | 2011-02-21 |
1295997567 | Fleet Ambulance Service, Inc | Ambulance | 10415 Perrin Beitel Rd Ste 103, San Antonio, TX 78217-3110 | 2008-06-27 |
1598800625 | Americana Ambulance, Inc | Ambulance | 4127 E. Southcross Blvd, San Antonio, TX 78222-3761 | 2007-02-20 |
1003987108 | Maurice Shaner II | Ambulance | 538 W Woodlawn Ave, San Antonio, TX 78212-3345 | 2006-11-11 |
1346359189 | American Medical Response Ambulance Service Inc | Ambulance | 11911 Radium St, San Antonio, TX 78216-2714 | 2006-08-29 |
1639282361 | American Metropolitan Amb. Co. | Ambulance | 3700 Fredericksburg Rd Ste 117, San Antonio, TX 78201-3266 | 2006-08-16 |
1154336972 | Texas Medical Transfer | Ambulance | 3005 W Commerce St, Suite 2, San Antonio, TX 78207-3781 | 2006-07-30 |
1497773246 | Emerald Ambulance Service LLC. | Ambulance | 3817 Parkdale St, San Antonio, TX 78229-2390 | 2006-07-18 |
1588602585 | Hmkc Enterprise, Lp | Ambulance | 4926 Research Dr, San Antonio, TX 78240-5006 | 2006-06-02 |
Find all providers in SAN ANTONIO |
City | SAN ANTONIO |
Zip Code | 78222 |
Please comment or provide details below to improve the information on MR. MITCHEL WADE SHANER.
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.