TRACEY C CAWTHORN (NPI# 1982850665) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982850665 |
| Entity Type | Individual |
| Full Name | TRACEY C CAWTHORN |
| Credential | MD |
| Practice Address |
311 Camden St Suite 510 San Antonio TX 78215 |
| Practice Telephone | 2105911615 |
| Practice Fax Number | 2105911635 |
| Mailing Telephone | 2105911615 |
| Mailing Fax Number | 2105911635 |
| Enumeration Date | 2008-08-13 |
| Last Update Date | 2019-08-07 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0805X |
Psychiatry & Neurology Specialization: Geriatric Psychiatry |
P4552 | TX | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 113 Pleasant Valley Dr Ste 210, Boerne, TX 780065683 | 8302674575 | 8302674575 |
| Street Address |
311 CAMDEN ST SUITE 510 |
| City | SAN ANTONIO |
| State | TX |
| Zip Code | 78215 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265439079 | Diane Michelle Perritano | Family Medicine | 311 Camden St, Ste. 601, San Antonio, TX 78215-2012 | 2005-07-07 |
| 1841722808 | Karla Melissa Reyes | Dietitian, Registered | 311 Camden St, Suite 409, San Antonio, TX 78215-2012 | 2017-03-29 |
| 1205378957 | Mark Mitchell | Nurse Practitioner | 311 Camden St, San Antonio, TX 78215-2012 | 2016-11-12 |
| 1689035545 | Lifecare Pharmacy 23 Inc | Pharmacy | 311 Camden St, Ste 103, San Antonio, TX 78215-2012 | 2016-03-18 |
| 1871950485 | Melissa M. Holmes | Nurse Practitioner | 311 Camden St, Ste 510, San Antonio, TX 78215 | 2016-01-27 |
| 1336540244 | Jasmine Alicia Smart | Registered Nurse | 311 Camden St, Suite 606, San Antonio, TX 78215-2012 | 2014-09-10 |
| 1134530462 | Cesar R. Pina | Nurse Practitioner | 311 Camden St, Ste 510, San Antonio, TX 78215 | 2014-05-08 |
| 1578985610 | Rivercity Cardiovascular of San Antonio Pllc | Internal Medicine | 311 Camden St, Ste 102, San Antonio, TX 78215-2012 | 2014-01-08 |
| 1417394461 | Amy Marie Schnegg | Optometrist | 311 Camden St, Suite 306, San Antonio, TX 78215-2012 | 2013-05-31 |
| 1396181384 | Jorge C Magallon Md Pa | Internal Medicine | 311 Camden St, 102, San Antonio, TX 78215-2012 | 2013-05-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710487780 | Webster Street Dental Pllc | Clinic/Center | 311 E Jones Ave, San Antonio, TX 78215 | 2018-02-16 |
| 1699215293 | Monique Gonzalez | Nurse Practitioner | 311 Camden St., Suite 510, San Antonio, TX 78215 | 2017-03-01 |
| 1477958015 | Rachel Lynn Stein | Nurse Practitioner | 311 Camden St Ste 501, San Antonio, TX 78215 | 2014-10-24 |
| 1962837005 | Jessica Maria Leighton | Nurse Practitioner | 926 Brooklyn Ave Ste 100, San Antonio, TX 78215 | 2013-09-09 |
| 1891037123 | Michael Aguilar Davila | Clinic/Center | 303 E Quincy Ste 104, Physician Health Services, San Antonio, TX 78215 | 2013-03-25 |
| 1265669584 | Colin Townes Son | Neurological Surgery | 123 Roy Smith St Apt 1211, San Antonio, TX 78215 | 2009-06-12 |
| 1306082292 | Dario Fernandez | Physical Therapist | 302 E Josephine St Ste 1101, San Antonio, TX 78215 | 2008-12-23 |
| 1992966584 | Vcphcs Vii, LLC | Clinic/Center | 519 E. Quincy, San Antonio, TX 78215 | 2008-06-17 |
| 1871686360 | Inocencio A. Davila, M.d.,p.a. | Anesthesiology | 621 N. Alamo, San Antonio, TX 78215 | 2006-10-02 |
| 1730282708 | Elizabeth S Brickman | Pediatrics | 311 Camden, Suite 214, San Antonio, TX 78215 | 2006-09-06 |
| Find all providers in zip 78215 | ||||
| Taxonomy Code | 2084P0805X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Geriatric Psychiatry |
| Geriatric Psychiatry is a subspecialty with psychiatric expertise in prevention, evaluation, diagnosis and treatment of mental and emotional disorders in the elderly, and improvement of psychiatric care for healthy and ill elderly patients. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710992417 | Era Geriatric Psychiatry Services, P.a. | Psychiatry & Neurology | 202 Verbena Hl, San Antonio, TX 78258-2949 | 2006-07-30 |
| 1689609125 | David Gary Johnson | Psychiatry & Neurology | 311 W Rosewood Ave, San Antonio, TX 78212-2219 | 2006-07-12 |
| 1457385874 | William R Flynn | Psychiatry & Neurology | 19141 Stone Oak Pkwy, Ste. 104, San Antonio, TX 78258-3366 | 2006-07-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124654801 | The Loving Concerns of Houston | Psychiatry & Neurology | 5630 Lavender St, Houston, TX 77026-1724 | 2020-03-13 |
| 1376185298 | Elder Care Behavioral Health Services | Psychiatry & Neurology | 3220 N Loop 1604 W, Shavano Park, TX 78231-4401 | 2019-10-11 |
| 1982259784 | Blake Elliott Ramsey | Psychiatry & Neurology | 1423 Wheatfall Ln, Austin, TX 78748-4838 | 2019-08-08 |
| 1851870711 | Mercy Psychiatry Inc | Psychiatry & Neurology | 8217 Mid Cities Blvd Ste 300, North Richland Hills, TX 76182-4712 | 2018-08-11 |
| 1639623937 | Brighter Day Health | Psychiatry & Neurology | 10741 Barnsford Ln, Helotes, TX 78023-4696 | 2016-08-04 |
| 1275983561 | Behavioral Health Specialists | Psychiatry & Neurology | 9191 Pinecroft Dr Ste 250, Shenandoah, TX 77380-2816 | 2016-06-16 |
| 1386098283 | Bharath G Raj | Psychiatry & Neurology | 3411 Cedar Knolls Dr Ste B, Kingwood, TX 77339-2474 | 2016-04-17 |
| 1043635667 | Susan Darsey | Psychiatry & Neurology | 9045 Briar Forest Dr, Houston, TX 77024-7220 | 2014-02-19 |
| 1841506789 | Legacy Psychiatric Consultants, Pllc | Psychiatry & Neurology | 5045 Lorimar Dr Ste 290, Plano, TX 75093-5721 | 2010-08-30 |
| 1861722936 | Douglas Brayshaw Hansen | Psychiatry & Neurology | 306 Bay Colony Dr, La Porte, TX 77571-7309 | 2010-01-12 |
| Find all providers with the same taxonomy | ||||
| City | SAN ANTONIO |
| Zip Code | 78215 |
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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.