CANCER CARE NETWORK OF SOUTH TEXAS PA (NPI# 1619136603) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619136603 |
| Entity Type | Organization |
| Organization Name | CANCER CARE NETWORK OF SOUTH TEXAS PA |
| Other Organization Name | WESTOVER HILLS-S.A.TUMOR & BLOOD |
| Practice Address |
11212 State Highway 151 Bldg 2, Suite 120 San Antonio TX 78251-4498 |
| Mailing Address |
100 Ne Loop 410 Suite 600 San Antonio TX 78216-4700 |
| Practice Telephone | 2102424000 |
| Mailing Telephone | 2102426541 |
| Mailing Fax Number | 2102125136 |
| Enumeration Date | 2008-06-04 |
| Last Update Date | 2013-01-04 |
| Authorized Official Name | DR. DAVID H GORDON (PRESIDENT) |
| Authorized Official Telephone | 2106188960 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | BLUECROSS/BLUESHIELD TX | 00U40Q | 01 |
| TX | 109514302 | 05 |
| Other Name | Type Code |
|---|---|
| Westover Hills-S.A.Tumor & Blood | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316198443 | Cancer Care Network of South Texas Pa | Internal Medicine | 1340 E Walnut St, Ste. 1348, Seguin, TX 78155-5126 | 2008-10-07 |
| 1851542971 | Cancer Care Network of South Texas Pa | Internal Medicine | 1448 E. Common St., New Braunfels, TX 78130-3162 | 2008-10-07 |
| 1841441961 | Cancer Care Network of South Texas Pa | Internal Medicine | 4411 Medical Drive, Ste. 100, San Antonio, TX 78229-3832 | 2008-10-07 |
| 1881845162 | Cancer Care Network of South Texas Pa | Internal Medicine | 606 31st St, Hondo, TX 78861-3512 | 2008-10-06 |
| 1942486964 | Cancer Care Network of South Texas Pa | Internal Medicine | 2130 N.e. Loop 410, Suite #100, San Antonio, TX 78217-4660 | 2008-01-22 |
| 1801913462 | Cancer Care Network of South Texas Pa | Internal Medicine | 1100 Mission Hills, #200, Marble Falls, TX 78654 | 2007-03-26 |
| 1619023355 | Cancer Care Network of South Texas Pa | Internal Medicine | 715 Fm 1431e, Marble Falls, TX 78654 | 2007-01-26 |
| 1225064603 | Cancer Care Network of South Texas Pa | Internal Medicine | 100 Ne Loop 410, Suite # 600, San Antonio, TX 78216-4700 | 2006-06-25 |
| 1841513256 | Cancer Care Network of South Texas Pa | Internal Medicine | 5000 Baptist Health Dr, Ste. 116, Schertz, TX 78154-1193 | 2010-03-12 |
| 1336390269 | Cancer Care Network of South Texas Pa | Internal Medicine | 4411 Medical Drive, Ste. 100, San Antonio, TX 78229-3832 | 2008-10-09 |
| Street Address |
11212 STATE HIGHWAY 151 BLDG 2, SUITE 120 |
| City | SAN ANTONIO |
| State | TX |
| Zip Code | 78251-4498 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407851223 | Nancy A Burt | Psychiatry & Neurology | 11212 State Highway 151, Plaza 1, Ste 200, San Antonio, TX 78251-4498 | 2005-06-17 |
| 1689271009 | Indigo Bend, LLC | Hospitalist | 11212 State Highway 151, San Antonio, TX 78251-4498 | 2020-10-08 |
| 1588133037 | Leanna Thompson | Nurse Practitioner | 11212 State Highway 151, San Antonio, TX 78251-4498 | 2018-11-14 |
| 1851881171 | Kathryn Eck Camplen | Midwife | 11212 State Highway 151, Medical Plaza II, Suite 315, San Antonio, TX 78251 | 2018-05-11 |
| 1740708957 | Adedeji Associates Pllc | Surgery | 11212 State Highway 151, Ste 200 Medical Plaza 1, San Antonio, TX 78251-4504 | 2017-09-07 |
| 1417477613 | Anthony Ikenna Okafor | Physician Assistant | 11212 State Highway 151, Suite 105-medical Plaza II, San Antonio, TX 78251 | 2017-06-20 |
| 1114455110 | Richard Roland Lares | Specialist/Technologist, Other | 11212 State Highway 151, San Antonio, TX 78251-4498 | 2017-06-02 |
| 1366980047 | Westover Hills Dermatology | Specialist | 11212 State Highway 151, Medical Plaza 1, Suite 320, San Antonio, TX 78251-4498 | 2017-02-02 |
| 1538602370 | Taylor Ellis | Nurse Practitioner | 11212 State Highway 151, Medical Plaza 1, Suite 390, San Antonio, TX 78251-4498 | 2016-11-28 |
| 1245789619 | Fhst Diagnostic Services Pllc | Family Medicine | 11212 State Highway 151, Medical Plaza Ste 240, San Antonio, TX 78251-4498 | 2016-09-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255930558 | Iyobosasere Ighoroje | Nurse Practitioner | 11212 Tx - 151, San Antonio, TX 78251 | 2020-10-19 |
| 1528679933 | Michael Medina | Registered Nurse | 1224 Leonard Hunt, San Antonio, TX 78251 | 2020-08-11 |
| 1528676053 | Calm Spring Dental | Clinic/Center | 11034 W Military Drive, Suite 104, San Antonio, TX 78251 | 2020-07-21 |
| 1659917169 | Brianna Ashly Garcia | Behavioral Analyst | 3002 Culebra Rd, 105, San Antonio, TX 78251 | 2019-11-19 |
| 1245892751 | Rodolfo Eloy Zapata | Behavior Technician | 9032 Dugas Rd Apt 118, San Antonio, TX 78251 | 2019-07-03 |
| 1174188718 | Kesar Family Pllc | Internal Medicine | 3303 Rodgers Road, Suite 250, San Antonio, TX 78251 | 2019-05-09 |
| 1730657313 | Culebra Meadows Dental Partners Pllc | Dentist | 7895 Culebra Rd., San Antonio, TX 78251 | 2018-11-13 |
| 1720563299 | San Juanita Villanueva | Specialist/Technologist | 10618 Cat Mountain, San Antonio, TX 78251 | 2018-10-01 |
| 1316421506 | Westover Hills Primary Care | Family Medicine | 9022 Culebra Rd, Ste 112, San Antonio, TX 78251 | 2018-09-24 |
| 1649750894 | Alejandro Rodriguez Flores | Physical Therapy Assistant | 9922 Tx-151, San Antonio, TX 78251 | 2018-08-17 |
| Find all providers in zip 78251 | ||||
| Taxonomy Code | 207RH0003X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hematology & Oncology |
| An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881965481 | Spurs Lane Medical Associates Pa | Internal Medicine | 2 Spurs Lane, Bldg 6 Ste 100, San Antonio, TX 78240-1634 | 2012-01-13 |
| 1942486964 | Cancer Care Network of South Texas Pa | Internal Medicine | 2130 N.e. Loop 410, Suite #100, San Antonio, TX 78217-4660 | 2008-01-22 |
| 1457547135 | Ju-hsien Chao | Internal Medicine | 4450 Medical Dr Fl 1, San Antonio, TX 78229-3710 | 2007-09-17 |
| 1558403337 | Slavisa Gasic | Internal Medicine | 7355 Barlite Blvd Ste 504, San Antonio, TX 78224-1341 | 2007-02-12 |
| 1700980299 | Alexei Arkhipov | Internal Medicine | 7390 Barlite Blvd, Suite 205, San Antonio, TX 78224-1337 | 2006-09-12 |
| 1457374142 | Stephen C Cohen | Internal Medicine | 2130 N.e.loop 410, Suite #250, San Antonio, TX 78217-4660 | 2006-07-25 |
| 1285662510 | Jayasree N Rao | Internal Medicine | 202 Baltimore, San Antonio, TX 78215-1907 | 2006-06-28 |
| 1265473391 | Raul M Portillo | Internal Medicine | 1200 Brooklyn Ave Ste 115, San Antonio, TX 78212-4815 | 2006-06-09 |
| 1881632974 | Zulfaqqar M Jaffar | Internal Medicine | 8019 S New Braunfels Ste 101, San Antonio, TX 78235-1069 | 2006-06-02 |
| 1336120054 | Cancer Care Centers of South Texas | Internal Medicine | 4411 Medical Dr, Ste. 100, San Antonio, TX 78229-3832 | 2005-11-09 |
| Find all providers in SAN ANTONIO | ||||
| City | SAN ANTONIO |
| Zip Code | 78251 |
Please comment or provide details below to improve the information on CANCER CARE NETWORK OF SOUTH TEXAS PA.
| 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.