DR. ERIK SCOTT DESOUCY (NPI# 1669608386) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669608386 |
| Entity Type | Individual |
| Full Name | DR. ERIK SCOTT DESOUCY |
| Credential | D.O. |
| Practice Address |
3551 Roger Brooke Dr San Antonio TX 78234-4504 |
| Mailing Address |
3551 Rodger Brooke Drive Jbsa - Fort Sam Houston TX 78234 |
| Practice Telephone | 2109161064 |
| Enumeration Date | 2009-06-09 |
| Last Update Date | 2019-09-26 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2083A0100X |
Preventive Medicine Specialization: Aerospace Medicine |
20A11509 | CA | Allopathic & Osteopathic Physicians |
| Y | 208600000X | Surgery | 20A11509 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
3551 ROGER BROOKE DR |
| City | SAN ANTONIO |
| State | TX |
| Zip Code | 78234-4504 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649274135 | Craig Mahlon Womeldorph | Internal Medicine | 3551 Roger Brooke Dr, San Antonio Military Medical Center, San Antonio, TX 78234-4504 | 2005-06-13 |
| 1639777139 | Carolina Marcia Delgado | Student in an Organized Health Care Education/Training Program | 3551 Roger Brooke Dr, San Antonio, TX 78234-4504 | 2020-10-15 |
| 1285232439 | Ngozika Oguamanam | Pharmacist | 3551 Roger Brooke Dr, San Antonio, TX 78234-4504 | 2020-10-10 |
| 1528673100 | Sarah Villalpando | Dietitian, Registered | 3551 Roger Brooke Dr, San Antonio, TX 78234-4504 | 2020-09-10 |
| 1568070357 | Thomas Gerald Baughan II | Nurse Anesthetist, Certified Registered | 3551 Roger Brooke Dr, San Antonio, TX 78234-4504 | 2020-07-17 |
| 1356967186 | Wayne James Blalock | Nurse Anesthetist, Certified Registered | 3551 Roger Brooke Dr, San Antonio, TX 78234-4504 | 2020-06-17 |
| 1619591088 | Candace Alexandra Flagg | Student in an Organized Health Care Education/Training Program | 3551 Roger Brooke Dr, San Antonio, TX 78234-4504 | 2020-06-02 |
| 1396366530 | Kenneth James Johnson | Student in an Organized Health Care Education/Training Program | 3551 Roger Brooke Dr, San Antonio, TX 78234-4504 | 2020-04-28 |
| 1346879384 | Jacob Loesche | Student in an Organized Health Care Education/Training Program | 3551 Roger Brooke Dr, Jbsa-fort Sam Houston, San Antonio, TX 78234-4504 | 2020-04-02 |
| 1851927560 | Jarrod Paul Odom | Student in an Organized Health Care Education/Training Program | 3551 Roger Brooke Dr, San Antonio, TX 78234-4504 | 2020-03-14 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255942884 | Thomas Ballas | Student in an Organized Health Care Education/Training Program | 3551 Roger Brooke Drive Jbsa-fort Sam Houston, Department of Behavioral Medicine-mche-dbm, San Antonio, TX 78234 | 2020-08-17 |
| 1124657366 | Wendy Harris | Pharmacist | 3041 Garden Ave, Fort Sam Houston, TX 78234 | 2020-04-08 |
| 1215564729 | Travis Frantz | Student in an Organized Health Care Education/Training Program | 3551 Rodger Brooke Drive, Jbsa Fort Sam Houston, TX 78234 | 2020-03-25 |
| 1508492695 | Matthew Grossmann | Student in an Organized Health Care Education/Training Program | San Antonio Military Medical Center, Mche-zdm-m, Internal Medicine Residency, 3551 Roger Brooke Dr., Jbsa-fort Sam Houston, TX 78234 | 2020-03-20 |
| 1235793407 | Jessica Maria May Franklin | Student in an Organized Health Care Education/Training Program | 3551 Roger Brooke Drive Jbsa Fort Sam Houston, San Antonio, TX 78234 | 2019-04-23 |
| 1730663477 | Glen Snyder | Military Health Care Provider | 3488 Garden Ave Anderson Hall, Fort Sam Houston, San Antonio, TX 78234 | 2018-09-19 |
| 1265919336 | Ashley Elizabeth Malawey | Military Health Care Provider | 3222 Cpl Johnson Road, San Antonio, TX 78234 | 2018-07-23 |
| 1053805515 | Rene Espinosa | Social Worker | San Antonio Medical Center, 3551 Roger Brooke Dr, Jbsa, TX 78234 | 2018-06-19 |
| 1235622333 | Melanie Edith Rivera | Military Health Care Provider | 3600 Roger Brooke Drive, San Antonio, TX 78234 | 2018-06-13 |
| 1063909158 | Benjamin Walker Appelo | General Practice | San Antonio Mil Med Center 3551 Roger Brooke Dr, Mche-zdm-m, San Antonio, TX 78234 | 2018-04-16 |
| Find all providers in zip 78234 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609484872 | Deepak Dev Vivekanandan | Surgery | 7703 Floyd Curl Dr # Mc-7742, San Antonio, TX 78229-3901 | 2020-07-14 |
| 1730747908 | Interventional Partners | Surgery | 19016 Stone Oak Pkwy Ste 180, San Antonio, TX 78258-3281 | 2019-06-03 |
| 1801372040 | Miguel A Hernandez | Surgery | 8019 S New Braunfels Ste 115, San Antonio, TX 78235-1069 | 2018-07-11 |
| 1144715384 | Maryam Elmi | Surgery | 7979 Wurzbach, 6th Floor, Zeller Bldg, San Antonio, TX 78229 | 2018-06-29 |
| 1275057036 | Nitya Surgical Staffing, Pllc | Surgery | 14603 Huebner Rd Bldg 2, San Antonio, TX 78230-5471 | 2017-08-02 |
| 1942662952 | Morgan Floyd | Surgery | 11 Rainy Ave, San Antonio, TX 78240-2950 | 2016-03-28 |
| 1518341148 | Maria A Palafox. Md, Pllc | Surgery | 8019 S New Braunfels Avenue, Suite 101, San Antonio, TX 78235-1069 | 2015-07-14 |
| 1326440744 | Us Cardiovascular LLC | Surgery | 6830 Heuermann Road, San Antonio, TX 78256-9603 | 2014-09-17 |
| 1205236676 | Carlos D. Godinez, Jr., M.d., Pllc | Surgery | 414 Navarro St Ste 816, San Antonio, TX 78205-2518 | 2014-09-03 |
| 1063857605 | Yekaterina A Jordan | Surgery | 11103 Whispering Wind St, San Antonio, TX 78230-3748 | 2013-05-09 |
| Find all providers in SAN ANTONIO | ||||
| City | SAN ANTONIO |
| Zip Code | 78234 |
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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.