GRACIA MEDICAL, LLP (NPI# 1619055571) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619055571 |
| Entity Type | Organization |
| Organization Name | GRACIA MEDICAL, LLP |
| Other Organization Name | YORKTOWN MEDICAL CLINIC |
| Practice Address |
508 N Riedel St Yorktown TX 78164-1810 |
| Practice Telephone | 3615643383 |
| Practice Fax Number | 3615644224 |
| Mailing Telephone | 3615643383 |
| Mailing Fax Number | 3615644224 |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2009-08-31 |
| Authorized Official Name | DAVID KEEFAUVER (MANAGING PARTNER) |
| Authorized Official Telephone | 3612752381 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | BCBS | 0032LZ | 01 |
| TX | 170895003 | 05 | |
| TX | 170895011 | 05 | |
| TX | 170895010 | 05 |
| Other Name | Type Code |
|---|---|
| Yorktown Medical Clinic | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619055563 | Gracia Medical, LLP | Family Medicine | 2500 N Esplanade St Ste 101, Cuero, TX 77954-4727 | 2006-11-01 |
| 1285713222 | Gracia Medical, LLP | Family Medicine | 200 E 2nd St, Nixon, TX 78140-2737 | 2006-11-02 |
| 1124107164 | Gracia Medical, LLP | Family Medicine | 113 W Main St, Kenedy, TX 78119-2717 | 2006-11-02 |
| Street Address |
508 N RIEDEL ST |
| City | YORKTOWN |
| State | TX |
| Zip Code | 78164-1810 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063415107 | Yorktown Emergency Medical Service | Ambulance | 508 N Riedel St, Yorktown, TX 78164-1810 | 2005-05-23 |
| 1821422551 | Dewitt Medical District | Family Medicine | 508 N Riedel St, Yorktown, TX 78164-1810 | 2013-08-29 |
| 1447344635 | Carolyn Dale Denton | Family Medicine | 508 N Riedel St, Yorktown, TX 78164-1810 | 2006-10-03 |
| 1710913785 | Gordon Barth | Family Medicine | 508 N Riedel St, Yorktown, TX 78164-1810 | 2006-06-23 |
| 1437193943 | Laura Pacek | Physician Assistant | 508 N Riedel St, Yorktown, TX 78164-1810 | 2006-06-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447386008 | Yorktown Isd | Counselor | 331 W Main St, Yorktown, TX 78164 | 2007-02-26 |
| 1659568442 | Golden Days Villa Inc | Assisted Living Facility | 439 East Main, Yorktown, TX 78164-0365 | 2007-09-26 |
| 1669644597 | Kelly Dean Hranicky | Licensed Vocational Nurse | 341 S Reidel, Yorktown, TX 78164-2024 | 2008-04-01 |
| 1053462838 | Kraege Drug Store | Pharmacy | 113 E Main St, Yorktown, TX 78164-2030 | 2007-01-16 |
| 1407845068 | Diversicare Leasing Corp. | Skilled Nursing Facility | 670 W 4th St, Yorktown, TX 78164-5092 | 2005-10-17 |
| 1851759047 | Kathleen Titus | Occupational Therapist | 670 W 4th St, Yorktown, TX 78164-5092 | 2016-02-03 |
| 1255372488 | Dewitt Medical District | Skilled Nursing Facility | 670 W 4th St, Yorktown, TX 78164-5092 | 2006-06-09 |
| 1205833829 | John H Frels | Dentist | 1707 W Main St, Suite B, Yorktown, TX 78164-5127 | 2005-06-29 |
| 1376819029 | Dewitt Dental Professionals | Dentist | 1707 W Main St, Yorktown, TX 78164-5127 | 2012-03-27 |
| 1225441025 | Robin Kathleen Woodmansee-wewe | Nurse Practitioner | 2542 W Fm 884, Yorktown, TX 78164-5164 | 2014-06-09 |
| Find all providers in zip 78164 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275887366 | Ruth Esther Smith | Family Medicine | 160 Main Rd, Yorktown, VA 23691-5111 | 2012-10-29 |
| 1619178274 | Wayne A Stoutenger | Family Medicine | 105 Jennie Dr, Yorktown, VA 23692-4001 | 2007-05-30 |
| 1700835568 | Timothy Lee Raines | Family Medicine | 3212b Hampton Hwy, Yorktown, VA 23693-4904 | 2006-05-09 |
| 1326013327 | Mark A Litz | Family Medicine | 1420 S. Pilgrim Blvd., Yorktown, IN 47396-9250 | 2006-02-22 |
| 1376514042 | Warren Paul Weixler | Family Medicine | 2855 Denbigh Blvd, Suite A, Yorktown, VA 23692-6501 | 2006-01-30 |
| 1407835812 | Pedro Otilio Nazario | Family Medicine | 1 U S Coast Guard Trn Ctr, Yorktown, VA 23690-5001 | 2006-01-13 |
| 1861490682 | Jesus L. Lizarzaburu | Family Medicine | 222 Grafton Dr, Yorktown, VA 23692-2152 | 2005-07-14 |
| 1669478418 | Hawes Campbell IIi | Family Medicine | 307 Cook Rd, Yorktown, VA 23690-9640 | 2005-06-27 |
| 1801438254 | Dena Michelle Mintz | Family Medicine | 6420 B George Washington Memorial Highway, Yorktown, VA 23269 | 2019-10-16 |
| 1326603952 | Riverside Physicain Services Inc | Family Medicine | 1620 Old Williamsburg Rd, Yorktown, VA 23690-3910 | 2019-05-09 |
| Find all providers in YORKTOWN | ||||
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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.