DR. JOHN E. ETLINGER (NPI# 1750310934) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750310934 |
| Entity Type | Individual |
| Full Name | DR. JOHN E. ETLINGER |
| Credential | M.D. |
| Practice Address |
1303 Mccullough Ave Suite 235 San Antonio TX 78212-5609 |
| Practice Telephone | 2102299290 |
| Practice Fax Number | 2102299494 |
| Mailing Telephone | 2102299290 |
| Mailing Fax Number | 2102299494 |
| Enumeration Date | 2006-07-01 |
| Last Update Date | 2007-07-09 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | E4323 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | TAX IDENTIFIER NUMBER | 742116294 | 01 |
| TX | 034840101 | 05 |
| Street Address |
1303 MCCULLOUGH AVE SUITE 235 |
| City | SAN ANTONIO |
| State | TX |
| Zip Code | 78212-5609 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386645372 | Victor Ivan Lyday | Orthopaedic Surgery | 1303 Mccullough Ave, Suite 361, San Antonio, TX 78212-5609 | 2005-08-02 |
| 1588208920 | Lorena Angelica Ramirez | Specialist/Technologist | 1303 Mccullough Ave, San Antonio, TX 78212-5609 | 2019-10-29 |
| 1396388351 | Alexander Saldana | Specialist/Technologist | 1303 Mccullough Ave, San Antonio, TX 78212-5609 | 2019-10-23 |
| 1821524158 | Jesse Lowrance | Specialist/Technologist | 1303 Mccullough Ave, San Antonio, TX 78212-5609 | 2017-05-05 |
| 1619410958 | Sam Mccrary | Specialist/Technologist | 1303 Mccullough Ave, San Antonio, TX 78212-5609 | 2016-11-18 |
| 1306242409 | Rafael Parra and Associates | Neurological Surgery | 1303 Mccullough Ave, Ste 440, San Antonio, TX 78212-5609 | 2014-11-17 |
| 1699193185 | Southern Texas Heart and Vascular Clinic, Pllc | Internal Medicine | 1303 Mccullough Ave, San Antonio, TX 78212-5609 | 2014-04-01 |
| 1780925768 | San Antonio Lung Center, Pllc | Internal Medicine | 1303 Mccullough Ave, Suite 428, San Antonio, TX 78212-5609 | 2013-03-15 |
| 1619217122 | Gmg Health Systems Associates, Pa | Durable Medical Equipment & Medical Supplies | 1303 Mccullough Ave, Suite 170, San Antonio, TX 78212-5609 | 2013-02-20 |
| 1144572132 | Rebekah T Adai | Nurse Practitioner | 1303 Mccullough Ave, Suite Gl70, San Antonio, TX 78212-5609 | 2012-10-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902451701 | Ninfa Hernandez Guzman | Assisted Living Facility | 325 E Locust St., San Antonio, TX 78212 | 2019-08-08 |
| 1366924730 | David Edward Dupuy | Occupational Therapist | 307 West Cypress, San Antonio, TX 78212 | 2018-09-03 |
| 1184100836 | Magenta Health, Inc. | Clinic/Center | 1222 North Main, Suite 115, San Antonio, TX 78212 | 2018-07-16 |
| 1497275762 | Dms Pharmacy, LLC | Pharmacy | 305 East Euclid, Suite 104, San Antonio, TX 78212 | 2017-06-27 |
| 1245693290 | Rebecca Lynn Sherman | Physical Therapist | 40 Ne Interstate 410 Loop, San Antonio, TX 78212 | 2016-03-29 |
| 1669886032 | Felise De Novo, PC | Counselor | 2400 Mccullough Ave., #12851, San Antonio, TX 78212 | 2014-06-13 |
| 1699102699 | Prem S. Kalidindi | Pharmacist | 2608 N. Main, Ste 1, San Antonio, TX 78212 | 2013-10-04 |
| 1073860052 | Sarah Nicole Percy Tovar | Dentist | 4118 Mccullough Ave., Suite 6, San Antonio, TX 78212 | 2012-08-09 |
| 1205181674 | Michael Jose Cavazos | Internal Medicine | 1100 Mccullough Ave Ste 300, San Antonio, TX 78212 | 2012-07-20 |
| 1730458381 | Neuriom, Pllc | Electrodiagnostic Medicine | 4007 Mccullough Ave, #243, San Antonio, TX 78212 | 2011-12-27 |
| Find all providers in zip 78212 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609484872 | Deepak Dev Vivekanandan | Surgery | 7703 Floyd Curl Dr # Mc-7742, San Antonio, TX 78229-3901 | 2020-07-14 |
| 1730747908 | Interventional Partners | Surgery | 19016 Stone Oak Pkwy Ste 180, San Antonio, TX 78258-3281 | 2019-06-03 |
| 1801372040 | Miguel A Hernandez | Surgery | 8019 S New Braunfels Ste 115, San Antonio, TX 78235-1069 | 2018-07-11 |
| 1144715384 | Maryam Elmi | Surgery | 7979 Wurzbach, 6th Floor, Zeller Bldg, San Antonio, TX 78229 | 2018-06-29 |
| 1275057036 | Nitya Surgical Staffing, Pllc | Surgery | 14603 Huebner Rd Bldg 2, San Antonio, TX 78230-5471 | 2017-08-02 |
| 1942662952 | Morgan Floyd | Surgery | 11 Rainy Ave, San Antonio, TX 78240-2950 | 2016-03-28 |
| 1518341148 | Maria A Palafox. Md, Pllc | Surgery | 8019 S New Braunfels Avenue, Suite 101, San Antonio, TX 78235-1069 | 2015-07-14 |
| 1326440744 | Us Cardiovascular LLC | Surgery | 6830 Heuermann Road, San Antonio, TX 78256-9603 | 2014-09-17 |
| 1205236676 | Carlos D. Godinez, Jr., M.d., Pllc | Surgery | 414 Navarro St Ste 816, San Antonio, TX 78205-2518 | 2014-09-03 |
| 1063857605 | Yekaterina A Jordan | Surgery | 11103 Whispering Wind St, San Antonio, TX 78230-3748 | 2013-05-09 |
| Find all providers in SAN ANTONIO | ||||
| City | SAN ANTONIO |
| Zip Code | 78212 |
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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.