SOUTHSIDE NEUROLOGY, PA (NPI# 1720318033) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720318033 |
| Entity Type | Organization |
| Organization Name | SOUTHSIDE NEUROLOGY, PA |
| Practice Address |
7355 Barlite Blvd Ste 101 San Antonio TX 78224-1342 |
| Mailing Address |
2425 Babcock Rd Ste 111 San Antonio TX 78229-4898 |
| Practice Telephone | 2103331477 |
| Mailing Telephone | 2105207246 |
| Enumeration Date | 2010-01-08 |
| Last Update Date | 2010-01-08 |
| Authorized Official Name | MRS. SANDY R DITTMAR (ADMINISTRATOR) |
| Authorized Official Telephone | 2106143009 |
| Authorized Official Credential | MBA, MHA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
Allopathic & Osteopathic Physicians |
| Street Address |
7355 BARLITE BLVD STE 101 |
| City | SAN ANTONIO |
| State | TX |
| Zip Code | 78224-1342 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780671313 | Robert David Ross | Family Medicine | 7355 Barlite Blvd, Ste 301, San Antonio, TX 78224-1342 | 2005-09-29 |
| 1962877696 | Dcoa Physician Associates, Pa | Student in an Organized Health Care Education/Training Program | 7355 Barlite Blvd, Suite #402, San Antonio, TX 78224 | 2015-12-07 |
| 1225467327 | Carlos Cosme-thillet | Registered Nurse | 7355 Barlite Blvd, Suite 301, San Antonio, TX 78224-1342 | 2013-11-08 |
| 1407116031 | Monica Jacqueline Salas | Family Medicine | 7355 Barlite Blvd, Suite 301, San Antonio, TX 78224-1342 | 2012-05-16 |
| 1356579817 | Raymond Luna Jr. | Legal Medicine | 7355 Barlite Blvd, Suite 301, San Antonio, TX 78224-1342 | 2009-06-23 |
| 1538311022 | Jessica Buzenas | Internal Medicine | 7355 Barlite Blvd, Suite 504, San Antonio, TX 78224-1342 | 2008-10-16 |
| 1689848137 | Cresencio Duran Jr. | Family Medicine | 7355 Barlite Blvd, Suite 301, San Antonio, TX 78224-1342 | 2008-04-16 |
| 1629248356 | Select Physical Therapy Holdings Inc | Clinic/Center | 7355 Barlite Blvd, Suite 101, San Antonio, TX 78224-1342 | 2008-03-10 |
| 1013195080 | Scheel Nayar, Do | Obstetrics & Gynecology | 7355 Barlite Blvd, Ste # 501, San Antonio, TX 78224-1342 | 2008-02-01 |
| 1780864751 | Steven Argumedo | Internal Medicine | 7355 Barlite Blvd, Suite 301, San Antonio, TX 78224-1342 | 2007-11-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083215222 | Caleb Paul Cruz | Physical Therapy Assistant | 98 Briggs Ave, Ste 990, San Antonio, TX 78224 | 2020-11-04 |
| 1770124984 | Lillian Cerritos | Physical Therapist | 7719 I-35 S. #213, San Antonio, TX 78224 | 2019-09-30 |
| 1730606211 | Stephanie Hernandez | Physical Therapy Assistant | 2227 Sundrop Bay, San Antonio, TX 78224 | 2017-08-25 |
| 1770012155 | Pedro Daniel Godoy Sr. | Technician | 9422 Hindi St., San Antonio, TX 78224 | 2017-06-08 |
| 1417408642 | Lynda Marie Perez | Specialist/Technologist | 98 Briggs Ave #990, San Antonio, TX 78224 | 2016-10-24 |
| 1679933832 | Cvs Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 8731 Poteet Jourdanton Freeway, San Antonio, TX 78224 | 2016-03-02 |
| 1699157495 | Samantha Gonzalez | Obstetrics & Gynecology | 7430 Barlite Blvd Ste 105, San Antonio, TX 78224 | 2015-06-29 |
| 1043601206 | Abraham A Alecozay Md Pa Phd | Obstetrics & Gynecology | 7430 Barlite Suite 105, San Antonio, TX 78224 | 2015-02-10 |
| 1265846794 | Ashley Arellano | Speech-Language Pathologist | 98 Briggs Avenue, Suite 990, San Antonio, TX 78224 | 2014-06-12 |
| 1912310244 | Jose Angel Musquiz Jr. | Massage Therapist | 7423 Yarrow Blvd Apt 3107, San Antonio, TX 78224 | 2014-06-04 |
| Find all providers in zip 78224 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427669712 | Nerve Track, Pllc | Psychiatry & Neurology | 17503 La Cantera Pkwy Ste 104-416, San Antonio, TX 78257-8207 | 2020-08-11 |
| 1619458403 | Neuropro of Texas | Psychiatry & Neurology | 2250 Red Rock Xing, San Antonio, TX 78245-3670 | 2018-08-28 |
| 1649669235 | Modk Monitoring Pllc | Psychiatry & Neurology | 4102 S New Braunfels Ave, Ste 110 #123, San Antonio, TX 78223-1707 | 2015-01-20 |
| 1972917888 | South Texas Neurology LLC | Psychiatry & Neurology | 115 Gallery Cir Ste 300, San Antonio, TX 78258-3388 | 2014-06-18 |
| 1245578459 | Neuroden, Pllc | Psychiatry & Neurology | 7113 San Pedro Avenue, #171, San Antonio, TX 78216 | 2013-01-23 |
| 1962749259 | Flag Ship Diagnostics, Pllc | Psychiatry & Neurology | 10730 Potranco Road, Suite 122 #185, San Antonio, TX 78251 | 2013-01-07 |
| 1740548569 | Mark Welborn | Psychiatry & Neurology | 22535 Lynridge Dr, San Antonio, TX 78260-7747 | 2012-04-30 |
| 1003122409 | B. Peyton Delaney, M. D. P.a. | Psychiatry & Neurology | 4499 Medical Dr Ste 122, San Antonio, TX 78229-3745 | 2010-08-23 |
| 1629382817 | Stop Sa, LLC | Psychiatry & Neurology | 3780 N.w. Loop 410, San Antonio, TX 78229 | 2010-07-30 |
| 1184944738 | Hannah Homafar | Psychiatry & Neurology | 4410 Medical Dr Ste 320, San Antonio, TX 78229-3749 | 2010-06-07 |
| Find all providers in SAN ANTONIO | ||||
| City | SAN ANTONIO |
| Zip Code | 78224 |
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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.