STEPHANIE MARIE PRADO (NPI# 1649344391) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649344391 |
| Entity Type | Individual |
| Full Name | STEPHANIE MARIE PRADO |
| Credential | MD |
| Practice Address |
1907 Highway 97 E Suite 130 Jourdanton TX 78026-1537 |
| Mailing Address |
Po Box 848510 Boston MA 02284-8510 |
| Practice Telephone | 8307695919 |
| Practice Fax Number | 9044463013 |
| Mailing Telephone | 9044463451 |
| Mailing Fax Number | 9044463013 |
| Enumeration Date | 2006-11-17 |
| Last Update Date | 2015-01-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 174400000X | Specialist | K9153 | TX | Other Service Providers |
| N | 208100000X | Physical Medicine & Rehabilitation | K9153 | TX | Allopathic & Osteopathic Physicians |
| Y | 2083P0011X |
Preventive Medicine Specialization: Undersea and Hyperbaric Medicine |
K9153 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | TAX ID | 010915507 | 01 |
| Street Address |
1907 HIGHWAY 97 E SUITE 130 |
| City | JOURDANTON |
| State | TX |
| Zip Code | 78026-1537 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962803841 | Tamara Rodriguez | Nurse Practitioner | 1907 Highway 97 E, Suite 280, Jourdanton, TX 78026-1537 | 2014-09-10 |
| 1063834091 | Timberland Medical Group | Radiology | 1907 Highway 97 E, Suite 250, Jourdanton, TX 78026-1538 | 2014-01-10 |
| 1215184841 | Ashwini Kumar | Surgery | 1907 Highway 97 E, Suite 260, Jourdanton, TX 78026-1537 | 2008-08-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033689815 | Tiffany Rose Mitchell | Physical Therapy Assistant | 1504 Tx-97e, Jourdanton, TX 78026 | 2018-12-05 |
| 1184864829 | Jesus Sanchez Ortiz | Contractor | 1909 Mcdowell Avenue, Jourdanton, TX 78026 | 2009-02-20 |
| 1568678688 | Julia Walden | Assisted Living Facility | 1310 Poplar St, Jourdanton, TX 78026 | 2007-05-15 |
| 1801938121 | Advanced Obgyn Care of South Texas | Obstetrics & Gynecology | 1901 Hwy 97 E, Ste 230, Jourdanton, TX 78026 | 2007-02-13 |
| 1013981448 | Anie A Cherian | Podiatrist | 180 County Road 300, Jourdanton, TX 78026 | 2006-02-14 |
| 1346862695 | Megan Shearrer Martin | Pharmacist | 1905 E State Highway 97, Jourdanton, TX 78026-1504 | 2020-05-09 |
| 1891017844 | Atascosa Emergency Medicine Associates Pa | Physician Assistant | 1905 Hwy 97 E, Jourdanton, TX 78026-1504 | 2010-02-18 |
| 1033199542 | Patricio T Villarreal | Emergency Medicine | 1905 Highway 97 E, Emergency Room, Jourdanton, TX 78026-1504 | 2006-01-19 |
| 1922511906 | Tx-i Medical Services Pa | Physician Assistant | 1905 Highway 97 E, Jourdanton, TX 78026-1504 | 2017-11-13 |
| 1679086649 | Remington Emergency Physicians Pllc | Emergency Medicine | 1905 Highway 97 E, Jourdanton, TX 78026-1504 | 2017-11-13 |
| Find all providers in zip 78026 | ||||
| Taxonomy Code | 2083P0011X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Preventive Medicine |
| Specialization | Undersea and Hyperbaric Medicine |
| A specialist who treats decompression illness and diving accident cases and uses hyperbaric oxygen therapy to treat such conditions as carbon monoxide poisoning, gas gangrene, non-healing wounds, tissue damage from radiation and burns and bone infections. This specialist also serves as consultant to other physicians in all aspects of hyperbaric chamber operations and assesses risks and applies appropriate standards to prevent disease and disability in divers and other persons working in altered atmospheric conditions. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Preventive Medicine, 2007. http://www.abprevmed.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Preventive Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306447321 | Central Texas Wound Healing Associates, Pllc | Preventive Medicine | 2300 Clear Creek Rd Ste 101, Killeen, TX 76549-4985 | 2020-11-05 |
| 1003470618 | Healogy Group Pllc | Preventive Medicine | 401 W Campbell Rd Ste 300, Richardson, TX 75080-3416 | 2019-04-29 |
| 1114498672 | Alpha Hyperbarics Pllc | Preventive Medicine | 1845 Precinct Line Road, Ste 105, Hurst, TX 76054 | 2018-12-10 |
| 1134694532 | Natividad Wound Care, LLC | Preventive Medicine | 138 Zamora Medical Cir, Eagle Pass, TX 78852-5924 | 2018-10-11 |
| 1659887248 | Rrr Hyperbarics 5, LLC | Preventive Medicine | 4150 N. Collins Street, Arlington, TX 76005 | 2017-12-19 |
| 1588179055 | Jaimi Lynne Stockstill | Preventive Medicine | 6161 N State Highway 161 Ste 310, Irving, TX 75038-2220 | 2017-12-06 |
| 1922511898 | Wound Care & Research Center of North Texas Pllc | Preventive Medicine | 502 N Valley Pkwy Ste 1, Lewisville, TX 75067-3437 | 2017-11-14 |
| 1093225518 | Dfw Wound & Hyperbarics, P.a. | Preventive Medicine | 2301 Marsh Ln Ste 200, Plano, TX 75093-8497 | 2017-10-10 |
| 1851800361 | Physicians Wound Care Pllc | Preventive Medicine | 4499 Medical Dr Ste Sl2, San Antonio, TX 78229-3722 | 2017-09-27 |
| 1205367455 | Rrr Hyperbarics 4 | Preventive Medicine | 1720 Fm 544, Lewisville, TX 75056-4592 | 2017-03-21 |
| Find all providers with the same taxonomy | ||||
| City | JOURDANTON |
| Zip Code | 78026 |
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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.