DEWITT MEDICAL DISTRICT (NPI# 1740614023) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740614023 |
| Entity Type | Organization |
| Organization Name | DEWITT MEDICAL DISTRICT |
| Other Organization Name | BOHMAN CLINIC |
| Practice Address |
2500 N Esplanade St Suite 101 Cuero TX 77954-4723 |
| Mailing Address |
2550 N Esplanade St Cuero TX 77954-4736 |
| Practice Telephone | 3612753561 |
| Practice Fax Number | 3612759287 |
| Mailing Telephone | 3612756191 |
| Mailing Fax Number | 3612753999 |
| Enumeration Date | 2013-08-22 |
| Last Update Date | 2016-07-18 |
| Authorized Official Name | GREG S PRITCHETT (CHIEF FINANCIAL OFFICER) |
| Authorized Official Telephone | 3612756191 |
| Is Organization Subpart | Y |
| Parent Organization Name | DEWITT MEDICAL DISTRICT |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| BOHMAN CLINIC | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811357155 | Dewitt Medical District | Skilled Nursing Facility | 222 Bertetti Dr, San Antonio, TX 78227-3950 | 2016-02-29 |
| 1932596343 | Dewitt Medical District | Nursing Facility/Intermediate Care Facility | 4162 Wildcat Dr, Corpus Christi, TX 78410-5100 | 2015-04-23 |
| 1396144770 | Dewitt Medical District | Skilled Nursing Facility | 710 Highway 359 S, Brookshire, TX 77423 | 2014-08-21 |
| 1851629430 | Dewitt Medical District | Durable Medical Equipment & Medical Supplies | 5301 W Duval Rd, Austin, TX 78727-6618 | 2009-11-19 |
| 1396789491 | Dewitt Medical District | Skilled Nursing Facility | 208 Maple Street, Luling, TX 78648 | 2006-06-16 |
| 1861442469 | Dewitt Medical District | Nursing Facility/Intermediate Care Facility | 2735 Airline Road, Corpus Christi, TX 78414 | 2006-05-12 |
| 1841254174 | Dewitt Medical District | Nursing Facility/Intermediate Care Facility | 3130 S Brahma Blvd, Kingsville, TX 78363-7257 | 2006-04-13 |
| 1558331421 | Dewitt Medical District | Home Health | 615 N Esplanade St, Cuero, TX 77954 | 2006-01-24 |
| 1235671629 | Dewitt Medical District | Skilled Nursing Facility | 2 Towers Park Ln, San Antonio, TX 78209-6410 | 2016-11-16 |
| 1396296521 | Dewitt Medical District | Durable Medical Equipment & Medical Supplies | 2550 N Esplanade St, Cuero, TX 77954-4736 | 2016-10-24 |
| Street Address |
2500 N ESPLANADE ST SUITE 101 |
| City | CUERO |
| State | TX |
| Zip Code | 77954-4723 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316987597 | Valente Antonio Benavides | Surgery | 2500 N Esplanade St, Suite 103, Cuero, TX 77954-4723 | 2006-06-07 |
| 1679013783 | Ashley Kalmus | Nurse Practitioner | 2500 N Esplanade St, Suite 102, Cuero, TX 77954-4723 | 2017-03-08 |
| 1124473616 | Susan Mims | Physician Assistant | 2500 N Esplanade St, Suite 101, Cuero, TX 77954-4723 | 2016-05-03 |
| 1730557026 | Dewitt Medical District | Family Medicine | 2500 N Esplanade St, Suite 102, Cuero, TX 77954-4723 | 2015-09-03 |
| 1033372032 | Sheryl May Alicia Mills | Family Medicine | 2500 N Esplanade St, Suite 102, Cuero, TX 77954-4723 | 2008-07-09 |
| 1548304843 | Jennifer L Gonzales | Internal Medicine | 2500 N Esplanade St, Suite 101, Cuero, TX 77954-4723 | 2007-02-19 |
| 1053405167 | Cuero Medical Associates, P.a. | Clinic/Center | 2500 N Esplanade St, Suite 102, Cuero, TX 77954-4723 | 2006-10-03 |
| 1902842313 | Raymond R Reese | General Practice | 2500 N Esplanade St, Ste 102, Cuero, TX 77954-4723 | 2006-06-22 |
| 1598701344 | Daniel D Dugi Jr. | Family Medicine | 2500 N Esplanade St, Ste 102, Cuero, TX 77954-4723 | 2006-06-21 |
| 1265473771 | Nelda Huber | Physician Assistant | 2500 N Esplanade St, Ste 101, Cuero, TX 77954-4723 | 2006-06-08 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649658279 | H-e-b, Lp | Clinical Medical Laboratory | 909 E Broadway St, Cuero, TX 77954 | 2015-05-15 |
| 1558331421 | Dewitt Medical District | Home Health | 615 N Esplanade St, Cuero, TX 77954 | 2006-01-24 |
| 1487009734 | Cody A Walthall | Family Medicine | 1109 E Broadway St, Cuero, TX 77954 | 2016-04-24 |
| 1922367366 | D Ross Braune Ma Lpc and Associates | Counselor | 401 Broadway Ave., 100, Cuero, TX 77954 | 2012-05-04 |
| 1053487868 | Dewitt Medical District | Nursing Care | 615 N Esplanade St, Cuero, TX 77954 | 2006-11-27 |
| 1770699027 | Cuero Medical Associates Pa | Family Medicine | 2500 N Esplanade, Suite 102, Cuero, TX 77954 | 2006-08-21 |
| 1710202098 | David Ronald Polasek | Pharmacist | 515 N Esplanade, Cuero, TX 77954-0270 | 2010-03-30 |
| 1124284500 | Renal Treatment Centers Southeast Lp | Clinic/Center | 1105 E Broadway St, Cuero, TX 77954-2108 | 2008-08-05 |
| 1689645376 | Parkside Family Clinic, Pa | Family Medicine | 1109 E Broadway St, Cuero, TX 77954-2108 | 2006-01-30 |
| 1285164749 | Hermelinda Fitts | Nurse Practitioner | 1109 E Broadway St, Cuero, TX 77954-2108 | 2017-06-18 |
| Find all providers in zip 77954 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619055563 | Gracia Medical, LLP | Family Medicine | 2500 N Esplanade St Ste 101, Cuero, TX 77954-4727 | 2006-11-01 |
| 1417041690 | William Kevin Denton | Family Medicine | 2500 N Esplanade St Ste 102, Cuero, TX 77954-4727 | 2006-10-03 |
| 1689645376 | Parkside Family Clinic, Pa | Family Medicine | 1109 E Broadway St, Cuero, TX 77954-2108 | 2006-01-30 |
| 1790789253 | Timothy R Mcfarland | Family Medicine | 2550 N Esplanade St, Cuero, TX 77954-4736 | 2005-06-11 |
| 1457885592 | Nicholas Lemley | Family Medicine | 2500 N Esplanade St Ste 102, Cuero, TX 77954-4727 | 2017-04-15 |
| 1487009734 | Cody A Walthall | Family Medicine | 1109 E Broadway St, Cuero, TX 77954 | 2016-04-24 |
| 1730557026 | Dewitt Medical District | Family Medicine | 2500 N Esplanade St, Suite 102, Cuero, TX 77954-4723 | 2015-09-03 |
| 1659770030 | Dewitt Medical District | Family Medicine | 1109 E Broadway St, Cuero, TX 77954-2108 | 2014-08-21 |
| 1043645955 | Dewitt Medical District | Family Medicine | 2550 N Esplanade St, Cuero, TX 77954-4736 | 2013-09-10 |
| 1255625422 | Gary Paul Willers II | Family Medicine | 2500 N Esplanade St Ste 102, Cuero, TX 77954-4727 | 2011-06-06 |
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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.