MR. NATHANAEL PETER MARSAN (NPI# 1619331469) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619331469 |
| Entity Type | Individual |
| Full Name | MR. NATHANAEL PETER MARSAN |
| Practice Address |
12412 Judson Rd Live Oak TX 78233-3272 |
| Mailing Address |
12474 Starcrest Dr Apt 1209 San Antonio TX 78216-2966 |
| Practice Telephone | 7182836000 |
| Mailing Telephone | 5183699133 |
| Enumeration Date | 2016-04-07 |
| Last Update Date | 2020-02-18 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | S3236 | TX | Allopathic & Osteopathic Physicians |
| Street Address |
12412 JUDSON RD |
| City | LIVE OAK |
| State | TX |
| Zip Code | 78233-3272 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205885878 | Roby P. Joyce | Pathology | 12412 Judson Rd, Live Oak, TX 78233-3255 | 2006-05-09 |
| 1831606334 | Tiffany Ann Johnson | Hospitalist | 12412 Judson Rd, Live Oak, TX 78233-3255 | 2018-01-05 |
| 1184146334 | Monterrey Village Inpatient Services Pllc | Nurse Practitioner | 12412 Judson Rd, Live Oak, TX 78233-3255 | 2017-07-10 |
| 1154871101 | Vicky Torres | Nurse Practitioner | 12412 Judson Rd, Live Oak, TX 78233-3255 | 2016-10-13 |
| 1225499064 | Laura Wiemar | Registered Nurse | 12412 Judson Rd, Live Oak, TX 78233-3255 | 2016-03-07 |
| 1174994396 | Herald Emergency Physicians, Pllc | Physician Assistant | 12412 Judson Rd, Live Oak, TX 78233-3255 | 2015-10-14 |
| 1790156966 | Inner Harbor Emergency Physicians, Pllc | Physician Assistant | 12412 Judson Rd, Live Oak, TX 78233-3255 | 2015-10-14 |
| 1568840569 | Erin De La Cruz | Emergency Medicine | 12412 Judson Rd, Live Oak, TX 78233 | 2015-05-11 |
| 1154741155 | John Leonard | Emergency Medicine | 12412 Judson Rd, Live Oak, TX 78233-3255 | 2014-04-17 |
| 1982035580 | Tx-i Medical Services Pa | Physician Assistant | 12412 Judson Rd, Live Oak, TX 78233-3255 | 2013-12-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477162451 | Jennifer Chaghoury | Chore Provider | 4606 La Marquesa St, San Antonio, TX 78233 | 2020-07-27 |
| 1912515719 | Creative Health Care Management, LLC | Physical Therapist | 4415 Rio D'oro St, San Antonio, TX 78233 | 2020-07-17 |
| 1841822749 | Edilma Yosmara Medrano | Nurse's Aide | 209 Goforth Drive, San Antonio, TX 78233 | 2020-02-07 |
| 1578194411 | Jorge Javier Jaramillo De La Torre | Neurological Surgery | Cuauhtemoc 380, Col. Moderna, San Luis Potosi, SLP 78233 | 2020-01-29 |
| 1174182000 | Shenila Rajani Od Pllc | Optometrist | 12349 I-35, San Antonio, TX 78233 | 2019-06-13 |
| 1659935609 | Mff Amber Oaks LLC | Assisted Living Facility | 4415 Rio Doro St., San Antonio, TX 78233 | 2019-04-25 |
| 1457862302 | Antoinette Marie Powell | Massage Therapist | 14615 Interstate 35 N, Live Oak, TX 78233 | 2017-10-18 |
| 1154852150 | Dustin William Koenning | Pharmacist | 6019 Randolph Blvd., San Antonio, TX 78233 | 2017-03-22 |
| 1316481153 | U S Anesthesia Partners of Texas, Pa | Physician Assistant | 12602 Toepperwein Rd Ste 218, Live Oak, TX 78233 | 2016-12-13 |
| 1477096121 | Vanessa's Garden of Hope Assisted Living,llc | Assisted Living Facility | 4350 Shallow Water, San Antonio, TX 78233 | 2016-11-29 |
| Find all providers in zip 78233 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538186978 | Mahendra R. Sheth | Emergency Medicine | 1100 11th St Sw, Live Oak, FL 32064-3608 | 2006-07-15 |
| 1568840569 | Erin De La Cruz | Emergency Medicine | 12412 Judson Rd, Live Oak, TX 78233 | 2015-05-11 |
| 1487051314 | Nico Dorfling Kristen | Emergency Medicine | 1100 11th St Sw, Live Oak, FL 32064-3608 | 2014-11-20 |
| 1154741155 | John Leonard | Emergency Medicine | 12412 Judson Rd, Live Oak, TX 78233-3255 | 2014-04-17 |
| 1700217304 | Judson Road Emergency Physicians Pllc | Emergency Medicine | 12412 Judson Rd, Live Oak, TX 78233-3255 | 2013-12-06 |
| 1134344278 | Steven P. Holliman | Emergency Medicine | 1100 11th St Sw, Live Oak, FL 32064-3608 | 2007-04-16 |
| 1255450656 | James Earl Ross Jr. | Emergency Medicine | 12702 Toepperwein Rd, Suite 140, Live Oak, TX 78233-3278 | 2007-03-28 |
| 1194749002 | Erin Rand Buzzella | Emergency Medicine | 1100 11th St Sw, Live Oak, FL 32064-3608 | 2006-07-26 |
| 1568486488 | Robert Freeman Spindell | Emergency Medicine | 1100 11th St Sw, Live Oak, FL 32064-3608 | 2006-07-26 |
| 1932175601 | Flavio Humberto Alvarez | Emergency Medicine | 11481 Toepperwein Rd, Ste 1202, Live Oak, TX 78233 | 2006-02-23 |
| Find all providers in LIVE OAK | ||||
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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.