MATTHEW J CELLINI (NPI# 1679919435) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679919435 |
| Entity Type | Individual |
| Full Name | MATTHEW J CELLINI |
| Credential | M.D. |
| Practice Address |
2200 Bergquist Dr Suite 1, Jbsa Lackland San Antonio TX 78236-9907 |
| Practice Telephone | 2035214196 |
| Enumeration Date | 2013-05-20 |
| Last Update Date | 2018-10-02 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | D0086191 | MD | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
2200 BERGQUIST DR SUITE 1, JBSA LACKLAND |
| City | SAN ANTONIO |
| State | TX |
| Zip Code | 78236-9907 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154830834 | Eugenia Osei-wusu | Pharmacist | 2200 Bergquist Dr, San Antonio, TX 78236-9907 | 2017-09-25 |
| 1396275079 | Kara Christensen | Nurse Practitioner | 2200 Bergquist Dr, San Antonio, TX 78236-9907 | 2017-06-15 |
| 1316497985 | Loralyn Beck | Dietitian, Registered | 2200 Bergquist Dr, San Antonio, TX 78236-9907 | 2016-10-07 |
| 1821450123 | Cory Newby | Military Health Care Provider | 2200 Bergquist Dr, San Antonio, TX 78236-9907 | 2016-03-25 |
| 1942669593 | Katherine Krause | General Practice | 2200 Bergquist Dr, Suite 1, San Antonio, TX 78236-9907 | 2016-02-10 |
| 1114364759 | Charles Aaron Woodward IIi | Military Health Care Provider | 2200 Bergquist Dr, San Antonio, TX 78236-9907 | 2013-05-22 |
| 1275879587 | Kelyn C Dos Santos | Military Health Care Provider | 2200 Bergquist Dr, San Antonio, TX 78236-9907 | 2012-12-14 |
| 1780967448 | Danielle Lantz | Military Health Care Provider | 2200 Bergquist Dr, Suite 1, San Antonio, TX 78236-9907 | 2011-09-20 |
| 1326346545 | Jocelyn Tia Moore | Social Worker | 2200 Bergquist Dr, Suite 1 - Jbsa Lackland, San Antonio, TX 78236-9907 | 2011-03-11 |
| 1720310543 | Sabrina Monique Felton | General Practice | 2200 Bergquist Dr, Suite 1, San Antonio, TX 78236-9907 | 2010-02-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063047363 | Arnoldo Arturo Gonzalez Jr. | Specialist/Technologist | 1033 Truemper St, Lackland Afb, TX 78236 | 2020-03-06 |
| 1023643343 | Meredith Grace Cockerell | Specialist/Technologist | W Military Drive, San Antonio, TX 78236 | 2020-03-06 |
| 1578120598 | Hali Rashelle Hall | Dentist | 1615 Truemper St, Blg 6418, Attn: 59ds/sgdn, Jbsa Lackland, TX 78236 | 2019-05-24 |
| 1952967077 | Paul Fianza Boseman | Nurse Practitioner | 1106 Wilford Hall Loop, San Antonio, TX 78236 | 2019-05-14 |
| 1689161978 | Kelly Jones Buckshire | Dentist | Dunn Dental Clinic, 1615 Truemper Rd, San Antonio, TX 78236 | 2018-04-23 |
| 1902308570 | Roger Louis Farney | Student in an Organized Health Care Education/Training Program | 1100 Wilford Hall Loop Bldg. 4554, Jbsa Lackland Afb, TX 78236 | 2018-02-28 |
| 1568916856 | Thomas Maxwell Woolf | Dentist | 1100 Wilford Hall Ambulatory Surgical Center, Lackland Afb, TX 78236 | 2016-08-04 |
| 1831544956 | Michael Veronneau | Student in an Organized Health Care Education/Training Program | 59 Mdw/ge 1100 Wilford Hall Loop, Bldg. 4554, Jbsa Lackland, TX 78236 | 2016-04-26 |
| 1376906958 | David Kephart Jr. | General Practice | 1100 Wilford Hall Loop Bldg 4454, Jbsa Lackland, TX 78236 | 2016-04-01 |
| 1184084089 | Olivia Arballo | Dermatology | Wilford Hall Asc, Attn: Dept of Dermatology, 1100 Wilford Hall Loop Bldg 4554, Jbsa-lackland, TX 78236 | 2016-03-04 |
| Find all providers in zip 78236 | ||||
| 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 |
|---|---|---|---|---|
| 1568062297 | Davies Recovery,llc | Emergency Medicine | 9503 Middlex Dr, San Antonio, TX 78217-5915 | 2020-10-30 |
| 1013421544 | Usacs Emergency Medicine Services of Texas, Pllc | Emergency Medicine | 7719 Interstate 35 S, San Antonio, TX 78224-1469 | 2017-11-20 |
| 1508384975 | Fred David Prentice | Emergency Medicine | 7 Venice Ct, San Antonio, TX 78257-1310 | 2017-09-06 |
| 1720435571 | Matthew Michael Hessel | Emergency Medicine | 3551 Roger Brooke Drive - Emergency Medicine Department, Jbsa-fort Sam Houston, San Antonio, TX 78234-4504 | 2016-05-23 |
| 1164817946 | Roland Manuel Dimaya | Emergency Medicine | 11503 Nw Military Hwy Ste 202, San Antonio, TX 78231-1895 | 2015-03-30 |
| 1437402724 | James Richard Leininger | Emergency Medicine | 18615 Tuscany Stone, Suite 200, San Antonio, TX 78258-3502 | 2012-10-24 |
| 1982966099 | Matthew Weldon Cross | Emergency Medicine | 410 E Wildwood Dr, San Antonio, TX 78212-1758 | 2012-06-13 |
| 1518238773 | Susan Lee Howle | Emergency Medicine | 7419 Wild Eagle St, San Antonio, TX 78255-1148 | 2012-01-19 |
| 1730472135 | Christina B Lumbreras | Emergency Medicine | 6263 Valley Bay Dr, San Antonio, TX 78250-5785 | 2011-05-18 |
| 1700176773 | Bryan Mathew Thomas | Emergency Medicine | 2022 Riva Ridge St, San Antonio, TX 78248-1143 | 2011-04-12 |
| Find all providers in SAN ANTONIO | ||||
| City | SAN ANTONIO |
| Zip Code | 78236 |
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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.