CANCER CARE NETWORK OF SOUTH TEXAS PA (NPI# 1629237912) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629237912 |
| Entity Type | Organization |
| Organization Name | CANCER CARE NETWORK OF SOUTH TEXAS PA |
| Other Organization Name | NORTHEAST METHODIST-S.A.TUMOR&BLOOD |
| Practice Address |
12709 Toepperwein Rd Suite 306 Live Oak TX 78233-3258 |
| Practice Telephone | 2103816533 |
| Mailing Telephone | 2103816533 |
| Enumeration Date | 2008-06-03 |
| Last Update Date | 2010-05-26 |
| Authorized Official Name | DR. DAVID H GORDON (PRESIDENT) |
| Authorized Official Telephone | 2103816533 |
| 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 | 109514302 | 05 | |
| TX | BLUECROSS/BLUESHIELD TX | 00U40Q | 01 |
| Other Name | Type Code |
|---|---|
| Northeast Methodist-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 |
12709 TOEPPERWEIN RD SUITE 306 |
| City | LIVE OAK |
| State | TX |
| Zip Code | 78233-3258 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801885959 | Cesar Reyes | Obstetrics & Gynecology | 12709 Toepperwein Rd, Suite 309, Live Oak, TX 78233-3258 | 2005-10-20 |
| 1154920668 | Diana White | Nurse Practitioner | 12709 Toepperwein Rd, Live Oak, TX 78233-3258 | 2020-10-26 |
| 1821540774 | Northeast Orthopaedics & Sports Medicine | Physical Therapist | 12709 Toepperwein Rd, Live Oak, TX 78233-3258 | 2016-10-26 |
| 1457718512 | Tamela Arabit | Counselor | 12709 Toepperwein Rd, Live Oak, TX 78233-3258 | 2016-01-20 |
| 1750757787 | Rico Andres Buentello | Physical Therapist | 12709 Toepperwein Rd, Suite 101, Live Oak, TX 78233-3258 | 2015-08-13 |
| 1356732028 | Ashley Tubb | Physician Assistant | 12709 Toepperwein Rd, Suite 101, Live Oak, TX 78233-3258 | 2015-02-16 |
| 1063817260 | Northeast Orthopaedics & Sports Medicine, LLP | Clinic/Center | 12709 Toepperwein Rd, Suite 101, Live Oak, TX 78233-3259 | 2014-10-30 |
| 1386986347 | S. Rodrigo Burguete Md Pa | Internal Medicine | 12709 Toepperwein Rd, 201, Live Oak, TX 78233-3258 | 2013-03-18 |
| 1346523719 | Adrienne Renee Garcia | Nurse Practitioner | 12709 Toepperwein Rd, Suite 206, Live Oak, TX 78233-3258 | 2011-09-22 |
| 1841580727 | Northeast Orthopaedic & Sports Medicine, LLP | Specialist | 12709 Toepperwein Rd, Suite 101, Live Oak, TX 78233-3258 | 2011-04-13 |
| 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 | 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 |
|---|---|---|---|---|
| 1750392908 | Rohit Kapoor | Internal Medicine | 12602 Toepperwein Rd Ste 114, Live Oak, TX 78233-3270 | 2006-08-11 |
| 1245425503 | Navneet Mittal | Internal Medicine | 12705 Toepperwein Rd, Live Oak, TX 78233-3257 | 2007-09-10 |
| 1790805877 | Rohit Kapoor Md Pa | Internal Medicine | 12602 Toepperwein Rd Ste 114, Live Oak, TX 78233-3270 | 2007-03-30 |
| 1447208384 | Basel Dabas | Internal Medicine | 12501 Judson Rd, Suite 102, Live Oak, TX 78233-4103 | 2006-05-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205399961 | Christus Health Ark-la-tex | Internal Medicine | 5002 Cowhorn Creek Rd Ste 3205, Texarkana, TX 75503-9766 | 2019-04-10 |
| 1861958704 | Thi of Texas At Samaritan Hospice LLC | Internal Medicine | 12001 N Central Expy Ste 550, Dallas, TX 75243-3943 | 2019-02-15 |
| 1417485822 | Ahmad Ghorab | Internal Medicine | 1515 Holcombe Blvd #1445, Houston, TX 77030 | 2017-05-30 |
| 1063952943 | Irfan Jawed Md Pllc | Internal Medicine | 4102 Woodlawn Avenue, Ste 160, Pasadena, TX 77504 | 2017-02-27 |
| 1366981615 | Houston Cancer Treatment Centers Pa. | Internal Medicine | 4102 Woodlawn Ave Ste 160, Pasadena, TX 77504-1922 | 2017-02-20 |
| 1508222720 | Maurizio Bendandi | Internal Medicine | 6722 Mimosa Ln, Dallas, TX 75230-5214 | 2016-01-04 |
| 1245642073 | Juan Francisco Garza | Internal Medicine | 3333 Bayshore Blvd Ste 320, Pasadena, TX 77504-1950 | 2014-05-28 |
| 1124463211 | Oluchi Oke | Internal Medicine | 1515 Holcombe Blvd Unit 463, Division of Cancer Medicine, Houston, TX 77030-4000 | 2013-05-03 |
| 1710229323 | Adaeze Nwosu- Iheme | Internal Medicine | 2700 Citizens Plz Ste 200, Victoria, TX 77901-5756 | 2013-03-21 |
| 1144570599 | Gummadi & Desai LLC | Internal Medicine | 2717 Michael Angelo Ste 302, Edinburg, TX 78539-1409 | 2012-09-13 |
| Find all providers with the same taxonomy | ||||
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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.