MR. CARLTON JAY KIZZIE


Address: 423 Treeline Park Ste 325, San Antonio, TX 78209-2060
Phone: 2105461460

MR. CARLTON JAY KIZZIE (NPI# 1740385400) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1740385400
Entity Type Individual
Full Name MR. CARLTON JAY KIZZIE
Credential PA-C
Practice Address 423 Treeline Park Ste 325
San Antonio
TX 78209-2060
Mailing Address 45 Ne Loop 410
Ste 850
San Antonio
TX 78216-5824
Practice Telephone 2105461460
Practice Fax Number 2105461459
Mailing Telephone 2108059800
Mailing Fax Number 2108058770
Enumeration Date 2006-09-14
Last Update Date 2019-10-09
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363A00000X Physician Assistant PA03282 TX Physician Assistants & Advanced Practice Nursing Providers
N 363AS0400X Physician Assistant
Specialization: Surgical Technologist
PA03282 TX Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
TX 4016123-01 05

Provider Secondary Practice Location

Address Telephone Number Fax Number
2424 Babcock Rd Ste 202, San Antonio, TX 782296031 2105461460 2105461459
7400 Merton Minter Blvd, Audies L. Murphy Veteran's Hospital, San Antonio, TX 78284 2106175300 2106175349
861 Landa St, New Braunfels, TX 781306115 2105461460 2105461459

Office Location

Street Address 423 TREELINE PARK STE 325
City SAN ANTONIO
State TX
Zip Code 78209-2060

Providers in the same location

NPI Name Taxonomy Address Enumeration
1558532978 Christopher J. Mcallister Physical Medicine & Rehabilitation 423 Treeline Park Ste 325, San Antonio, TX 78209 2008-03-13

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1891346359 Westlake Dermatology of San Antonio Pllc Dermatology 5500 Broadway Ave Ste R100, Alamo Heights, TX 78209 2019-09-26
1265086045 Westlake Dermatology, Pa Dermatology 5500 Broadway Ave, Alamo Heights, TX 78209 2019-07-30
1194207530 Arthur Davies Licensed Vocational Nurse 8700 Crownhill Blvd #300, San Antonio, TX 78209 2018-09-01
1538649462 Jessica Michelle Moore Licensed Vocational Nurse 8400 Crown Hill Blvd, San Antonio, TX 78209 2018-08-20
1871072645 Olawunmi Olapeju Odele Licensed Vocational Nurse 8700 Crownhill Blvd. Ste.300, San Antonio, TX 78209 2018-08-12
1265921126 Ashley L Garcia Physician Assistant 414 W Sunset Rd Ste 205, San Antonio, TX 78209 2018-05-07
1083117428 New Choices Treatment Center LLC Substance Abuse Rehabilitation Facility 3050 Eisenhauer Rd Apt 501, San Antonio, TX 78209 2018-03-12
1629570106 Julieta Rubio Hobbs Counselor 4301 Broadway St. 438, San Antonio, TX 78209 2018-03-01
1326550187 Shannon Lee Crowley Occupational Therapy Assistant 403 Irvington Dr, San Antonio, TX 78209 2017-11-01
1932627007 Juanita De Luna Salazar Physical Therapist 1635 Ne Interstate 410 Loop, #600, San Antonio, TX 78209 2017-09-08
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Taxonomy Information

Taxonomy Code 363A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant

Taxonomy Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1447866298 Diana P Olivares Physician Assistant 8920 Quihi Way, San Antonio, TX 78254-1901 2020-09-17
1740893445 Mcrm Assist, Pllc Physician Assistant 14546 Brook Hollow Blvd # 417, San Antonio, TX 78232-3810 2020-08-24
1508476086 Matthew Gaines Physician Assistant 2626 Bluff Xing, San Antonio, TX 78244-1000 2020-08-09
1235757519 Joseph Dominic Wechsler Jr. Physician Assistant 9114 Autumn Skies, San Antonio, TX 78254-1929 2020-07-13
1396368015 Maureen Genov Physician Assistant 540 Madison Oak Dr Ste 450, San Antonio, TX 78258-3932 2020-05-28
1386266062 Sun Assist, Pllc Physician Assistant 10650 Culebra Rd # 104-484, San Antonio, TX 78251-4949 2020-05-15
1134758964 Mark Lee Nentwig Physician Assistant 1434 E Sonterra Blvd Ste 206, San Antonio, TX 78258-4973 2020-04-03
1962034694 Christina L Russell Physician Assistant 525 Oak Centre Dr Ste 100, San Antonio, TX 78258-3916 2020-02-11
1265071203 Caralyne Sandquist Physician Assistant 5510 Presidio Parkway, Building #2 Suite 2401, San Antonio, TX 78249 2019-12-21
1447808498 Elizabeth Ann Blair Physician Assistant 24623 Birdie Rdg, San Antonio, TX 78260-7847 2019-09-03
Find all providers in SAN ANTONIO

Competitor

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City SAN ANTONIO
Zip Code 78209

Improve Information

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Dataset Information

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.

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