ADVANCED OBGYN CARE OF SOUTH TEXAS (NPI# 1801938121) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801938121 |
| Entity Type | Organization |
| Organization Name | ADVANCED OBGYN CARE OF SOUTH TEXAS |
| Practice Address |
1901 Hwy 97 E Ste 230 Jourdanton TX 78026 |
| Practice Telephone | 8307693970 |
| Practice Fax Number | 8307693978 |
| Mailing Telephone | 8307693970 |
| Mailing Fax Number | 8307693978 |
| Enumeration Date | 2007-02-13 |
| Last Update Date | 2008-01-24 |
| Authorized Official Name | EDWARD B BLACKMAN JR. (OWNER) |
| Authorized Official Telephone | 8307693970 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | M0326 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | MEDICARE | 8D1909 | 01 |
| Street Address |
1901 HWY 97 E STE 230 |
| City | JOURDANTON |
| State | TX |
| Zip Code | 78026 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033689815 | Tiffany Rose Mitchell | Physical Therapy Assistant | 1504 Tx-97e, Jourdanton, TX 78026 | 2018-12-05 |
| 1184864829 | Jesus Sanchez Ortiz | Contractor | 1909 Mcdowell Avenue, Jourdanton, TX 78026 | 2009-02-20 |
| 1568678688 | Julia Walden | Assisted Living Facility | 1310 Poplar St, Jourdanton, TX 78026 | 2007-05-15 |
| 1013981448 | Anie A Cherian | Podiatrist | 180 County Road 300, Jourdanton, TX 78026 | 2006-02-14 |
| 1346862695 | Megan Shearrer Martin | Pharmacist | 1905 E State Highway 97, Jourdanton, TX 78026-1504 | 2020-05-09 |
| 1891017844 | Atascosa Emergency Medicine Associates Pa | Physician Assistant | 1905 Hwy 97 E, Jourdanton, TX 78026-1504 | 2010-02-18 |
| 1033199542 | Patricio T Villarreal | Emergency Medicine | 1905 Highway 97 E, Emergency Room, Jourdanton, TX 78026-1504 | 2006-01-19 |
| 1922511906 | Tx-i Medical Services Pa | Physician Assistant | 1905 Highway 97 E, Jourdanton, TX 78026-1504 | 2017-11-13 |
| 1679086649 | Remington Emergency Physicians Pllc | Emergency Medicine | 1905 Highway 97 E, Jourdanton, TX 78026-1504 | 2017-11-13 |
| 1730692799 | Hennessey Inpatient Services Pllc | Hospitalist | 1905 Highway 97 E, Jourdanton, TX 78026-1504 | 2017-11-13 |
| Find all providers in zip 78026 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114092251 | Edward B Blackmon Jr. | Obstetrics & Gynecology | 1907 Highway 97 E Ste 220, Jourdanton, TX 78026-1538 | 2006-11-22 |
| 1619179728 | Juliana Rodriguez | Obstetrics & Gynecology | 1907 Highway 97 E Ste 220, Jourdanton, TX 78026-1538 | 2007-06-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629677067 | Rodriguez Health, LLC | Obstetrics & Gynecology | 107 N Smith St Ste B, Pleasanton, TX 78064-4109 | 2020-10-17 |
| 1093324428 | Complete Care Obgyn and Family Medicine Pllc | Obstetrics & Gynecology | 1408 W Nasa Parkway, Ste A, Webster, TX 77598 | 2020-07-31 |
| 1891303673 | Serenity Women's Health Pllc | Obstetrics & Gynecology | 10907 Memorial Hermann Dr Ste 355, Pearland, TX 77584-4114 | 2020-07-17 |
| 1659994069 | Carolina A Andrade | Obstetrics & Gynecology | 945 S Mesa Hills Dr Apt 3515, El Paso, TX 79912-5157 | 2020-05-20 |
| 1700408739 | Julie Marie Dorland | Obstetrics & Gynecology | Ut Austin Dell Medical School Obgyn Medical Park Tower, 1301 W 38th St, Suite 705, Austin, TX 78705 | 2020-05-13 |
| 1508487273 | Victoria Ann Petruzzi | Obstetrics & Gynecology | 1401 St. Joseph Pkwy., Sks1106a, Houston, TX 77002 | 2020-05-04 |
| 1457972721 | Brynna Lynch | Obstetrics & Gynecology | 11212 State Highway 151 Ste 120, San Antonio, TX 78251-4498 | 2020-04-28 |
| 1952933913 | Gilbert G Sayegh Md, Pa | Obstetrics & Gynecology | 1004 Hobbs Hwy Ste 4, Seminole, TX 79360-3310 | 2020-02-07 |
| 1346880184 | Burke Womens Healthcare Pllc | Obstetrics & Gynecology | 4002 Burke Rd Ste 300, Pasadena, TX 77504-3451 | 2020-01-09 |
| 1386280337 | Women's Pavilion of Greater Houston | Obstetrics & Gynecology | 6051 Garth Rd Ste 700, Baytown, TX 77521-9807 | 2019-11-25 |
| Find all providers with the same taxonomy | ||||
| City | JOURDANTON |
| Zip Code | 78026 |
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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.