BOERNE WOMEN'S CARE, PLLC (NPI# 1689868648) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689868648 |
| Entity Type | Organization |
| Organization Name | BOERNE WOMEN'S CARE, PLLC |
| Practice Address |
124 E Bandera Rd Suite 204 Boerne TX 78006-2849 |
| Practice Telephone | 8303319674 |
| Practice Fax Number | 8303319675 |
| Mailing Telephone | 8303319674 |
| Mailing Fax Number | 8303319675 |
| Enumeration Date | 2007-09-04 |
| Last Update Date | 2008-07-31 |
| Authorized Official Name | DR. MICHAEL JAMES SMITH (OWNER) |
| Authorized Official Telephone | 8303319674 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207VG0400X |
Obstetrics & Gynecology Specialization: Gynecology |
L2776 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | GROUP NPI | 1689868648 | 01 |
| Street Address |
124 E BANDERA RD SUITE 204 |
| City | BOERNE |
| State | TX |
| Zip Code | 78006-2849 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639179468 | Susan Annette Lee | Family Medicine | 124 E Bandera Rd, Ste. 102, Boerne, TX 78006-2849 | 2005-07-22 |
| 1942613682 | Don Chamberlain | Audiologist | 124 E Bandera Rd, Suite 201, Boerne, TX 78006-2849 | 2014-06-10 |
| 1235571910 | Michael Ryan | Nurse Practitioner | 124 E Bandera Rd, Ste 102, Boerne, TX 78006-2849 | 2013-07-23 |
| 1609149731 | Boerne Vision Center Pa | Optometrist | 124 E Bandera Rd, Suite 403, Boerne, TX 78006-2849 | 2012-02-21 |
| 1952686313 | Eye Country, Pllc | Optometrist | 124 E Bandera Rd, Ste 403, Boerne, TX 78006-2849 | 2011-10-18 |
| 1154642551 | Heather Ottmers Caddell | Obstetrics & Gynecology | 124 E Bandera Rd, Suite 204, Boerne, TX 78006-2849 | 2010-06-20 |
| 1134396757 | Rachel Aubrey Gravel | Pediatrics | 124 E Bandera Rd, Suite 304, Boerne, TX 78006-2849 | 2008-05-13 |
| 1861672156 | Diaz Vision Center Pa | Ophthalmology | 124 E Bandera Rd, Suite 404, Boerne, TX 78006-2849 | 2007-11-05 |
| 1447446513 | Barbara A Norvell | Audiologist | 124 E Bandera Rd, Suite 201, Boerne, TX 78006-2849 | 2007-09-21 |
| 1457401747 | Jennifer L Johnson | Optometrist | 124 E Bandera Rd, Ste 403, Boerne, TX 78006-2849 | 2007-01-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982218517 | Boerne Mens Clinic | Family Medicine | 138 Tx-46, Boerne, TX 78006 | 2020-09-01 |
| 1700431798 | Methodist Ambulatory Surgery Center of Boerne, LLC | Clinic/Center | 110 Menger Springs, Boerne, TX 78006 | 2019-08-06 |
| 1144704156 | Lauren Elizabeth Settle | Counselor | 26254 Interstate 10, Suite 224, Boerne, TX 78006 | 2018-09-17 |
| 1265914600 | Shana North | Physical Therapy Assistant | 200 Ryan Street, Boerne, TX 78006 | 2018-09-02 |
| 1598258352 | Alamo Prosthetics LLC | Durable Medical Equipment & Medical Supplies | 28711 I 10 W, Boerne, TX 78006 | 2018-06-07 |
| 1578052312 | Premium Pharma, LLC | Pharmacy | 1 Fm 3351 S Ste 115, Boerne, TX 78006 | 2018-05-08 |
| 1952814386 | Advanced Surgical Care of Boerne, LLC | Clinic/Center | 138 Old San Antonio Rd # 400, Boerne, TX 78006 | 2017-11-07 |
| 1184151532 | River Road Pharmacy | Pharmacy | 910 River Rd Ste 103, Boerne, TX 78006 | 2017-05-16 |
| 1487191565 | Olive Branch Hope Center, Inc | Counselor | 215 W Bandera Rd 114 Pmb 239, Boerne, TX 78006 | 2017-01-26 |
| 1063955367 | Leigh Ann Grasso | Pharmacist | 31007 Ih 10 W, Ste 108, Boerne, TX 78006 | 2016-11-18 |
| Find all providers in zip 78006 | ||||
| Taxonomy Code | 207VG0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Gynecology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073129458 | Bloom Gynecology LLC | Obstetrics & Gynecology | 3540 E Broad St # 262, Mansfield, TX 76063-5633 | 2020-09-21 |
| 1861003170 | North Texas Cosmetic Surgery, LLC | Obstetrics & Gynecology | 4401 Coit Rd Ste 205, Frisco, TX 75035-0504 | 2020-08-11 |
| 1285279208 | Jill Bynum Farmar | Obstetrics & Gynecology | 4611 Travis St Apt 7, Dallas, TX 75205-5581 | 2019-11-13 |
| 1295221786 | Cornerstonemd,pllc | Obstetrics & Gynecology | 12222 N Central Expy Ste 140, Dallas, TX 75243 | 2018-07-08 |
| 1851745459 | Holly Eliason | Obstetrics & Gynecology | 4085 Ohio Dr Ste 100, Frisco, TX 75035-6245 | 2016-04-20 |
| 1861807968 | Ruby L Holloway, M.d.p.a | Obstetrics & Gynecology | 710 S 8th St Ste B, Beaumont, TX 77701-4634 | 2014-06-26 |
| 1851731319 | Annabelle Lopez M.d., P.a. | Obstetrics & Gynecology | 913 S Airport Dr Ste 201, Weslaco, TX 78596-6629 | 2013-06-28 |
| 1679815286 | Andrew Gene Dillard | Obstetrics & Gynecology | 1717 Weiskopf Dr, Heath, TX 75032-7749 | 2013-03-21 |
| 1689916553 | Peter K Thompson | Obstetrics & Gynecology | 307 Fall River Ct, Houston, TX 77024-5611 | 2013-03-19 |
| 1003158916 | Robert J Morrow | Obstetrics & Gynecology | 2202 Running Springs Dr, Kingwood, TX 77339-3125 | 2013-03-19 |
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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.