NORTHEAST MEDICAL CENTER RADIOLOGY, PA (NPI# 1821417494) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821417494 |
| Entity Type | Organization |
| Organization Name | NORTHEAST MEDICAL CENTER RADIOLOGY, PA |
| Practice Address |
680 E Basse Rd #203 San Antonio TX 78209-7431 |
| Practice Telephone | 2102601071 |
| Practice Fax Number | 2108224319 |
| Mailing Telephone | 2102601071 |
| Mailing Fax Number | 2108224319 |
| Enumeration Date | 2014-04-10 |
| Last Update Date | 2014-05-14 |
| Authorized Official Name | DR. JOHN BENTLEY KAMP (PRESIDENT) |
| Authorized Official Telephone | 2102601071 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
F4894 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | DEA REGISTRATION NUMBER | AK8899708 | 01 |
| Street Address |
680 E BASSE RD #203 |
| City | SAN ANTONIO |
| State | TX |
| Zip Code | 78209-7431 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720256803 | Aubrey Pat Chambers | Psychiatry & Neurology | 680 E Basse Rd, Apt 326, San Antonio, TX 78209 | 2008-02-12 |
| 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 |
| Find all providers in zip 78209 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| 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 Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689294118 | Yolanda Salas Vergara | Radiology | 215 E Quincy St Ste 100, San Antonio, TX 78215-2032 | 2020-04-24 |
| 1568095123 | Century Radiology Medical Group, Inc | Radiology | 7102 Bethencourt, San Antonio, TX 78209-3407 | 2020-02-21 |
| 1760030852 | Francis Joseph Carabin | Radiology | 318 E Nakoma St, San Antonio, TX 78216-2795 | 2019-08-31 |
| 1518421619 | Alvarado Radiology Group Inc, A Professional Corporation | Radiology | 12202 Chambers Cv, San Antonio, TX 78253-6357 | 2019-01-23 |
| 1649751058 | Mri Centers of Texas LLC - San Antonio Series | Radiology | 4400 Vance Jackson Rd, San Antonio, TX 78230-5323 | 2018-08-23 |
| 1457879215 | Concord Imaging | Radiology | 18802 Meisner Drive, San Antonio, TX 78252-4251 | 2017-08-31 |
| 1699157289 | Apurva Ashok Bonde | Radiology | 4502 Medical Dr # L340, San Antonio, TX 78229-4402 | 2015-06-19 |
| 1316337140 | Carl R Keener | Radiology | 15303 Huebner Rd Ste 11, San Antonio, TX 78248-0983 | 2015-02-02 |
| 1912260472 | John Damon Pavlus | Radiology | 331 E Fest St, San Antonio, TX 78204-1954 | 2012-06-20 |
| 1215235916 | Justin Costello | Radiology | 3851 Roger Brooke Drive, Fort Sam Houston, San Antonio, TX 78234-6200 | 2011-03-03 |
| Find all providers in SAN ANTONIO | ||||
| City | SAN ANTONIO |
| Zip Code | 78209 |
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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.