DR. JEFFREY CLAY FLETCHER JR. (NPI# 1982920971) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982920971 |
| Entity Type | Individual |
| Full Name | DR. JEFFREY CLAY FLETCHER JR. |
| Credential | D.O. |
| Practice Address |
12709 Toepperwein Rd Ste 306 Live Oak TX 78233-3223 |
| Mailing Address |
4411 Medical Drive Suite 300 San Antonio TX 78229 |
| Practice Telephone | 2109670096 |
| Practice Fax Number | 2109670383 |
| Mailing Telephone | 2106145400 |
| Mailing Fax Number | 2106142431 |
| Enumeration Date | 2010-04-15 |
| Last Update Date | 2018-03-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
P6816 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MEDICARE | 558260YR99 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 4411 Medical Dr Ste 300, San Antonio, TX 782293824 | 2106144000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619578762 | Jeffrey Fletcher | Counselor | 1720 E Tiffany Dr Ste 102, Mangonia Park, FL 33407-3235 | 2020-11-05 |
| 1780865840 | Jeffrey Kyle Fletcher | Counselor | 275 W Campbell Rd, Suite 121, Richardson, TX 75080-3601 | 2007-11-16 |
| 1629152525 | Jeffrey L Fletcher | Dentist | 715 Morton St, Paris, TN 38242-4210 | 2006-10-25 |
| 1336252568 | Jeffrey James Fletcher | Neurological Surgery | 1500 East Medical Center Dr, 2nd Floor Taubman Center Recp G, Ann Arbor, MI 48109 | 2006-08-15 |
| Street Address |
12709 TOEPPERWEIN RD STE 306 |
| City | LIVE OAK |
| State | TX |
| Zip Code | 78233-3223 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548211477 | George Palomino | Internal Medicine | 12709 Toepperwein Rd Ste 306, Live Oak, TX 78233-3223 | 2006-05-15 |
| 1114400660 | Julie Eileen Roat | Nurse Practitioner | 12709 Toepperwein Rd Ste 306, Live Oak, TX 78233-3223 | 2018-09-11 |
| 1376701565 | Thor Tejada | Internal Medicine | 12709 Toepperwein Rd Ste 306, Live Oak, TX 78233-3223 | 2008-05-26 |
| 1134303035 | James J. Mancuso | Internal Medicine | 12709 Toepperwein Rd Ste 306, Live Oak, TX 78233-3223 | 2007-12-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477162451 | Jennifer Chaghoury | Chore Provider | 4606 La Marquesa St, San Antonio, TX 78233 | 2020-07-27 |
| 1912515719 | Creative Health Care Management, LLC | Physical Therapist | 4415 Rio D'oro St, San Antonio, TX 78233 | 2020-07-17 |
| 1841822749 | Edilma Yosmara Medrano | Nurse's Aide | 209 Goforth Drive, San Antonio, TX 78233 | 2020-02-07 |
| 1578194411 | Jorge Javier Jaramillo De La Torre | Neurological Surgery | Cuauhtemoc 380, Col. Moderna, San Luis Potosi, SLP 78233 | 2020-01-29 |
| 1174182000 | Shenila Rajani Od Pllc | Optometrist | 12349 I-35, San Antonio, TX 78233 | 2019-06-13 |
| 1659935609 | Mff Amber Oaks LLC | Assisted Living Facility | 4415 Rio Doro St., San Antonio, TX 78233 | 2019-04-25 |
| 1457862302 | Antoinette Marie Powell | Massage Therapist | 14615 Interstate 35 N, Live Oak, TX 78233 | 2017-10-18 |
| 1154852150 | Dustin William Koenning | Pharmacist | 6019 Randolph Blvd., San Antonio, TX 78233 | 2017-03-22 |
| 1316481153 | U S Anesthesia Partners of Texas, Pa | Physician Assistant | 12602 Toepperwein Rd Ste 218, Live Oak, TX 78233 | 2016-12-13 |
| 1477096121 | Vanessa's Garden of Hope Assisted Living,llc | Assisted Living Facility | 4350 Shallow Water, San Antonio, TX 78233 | 2016-11-29 |
| Find all providers in zip 78233 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285077081 | Southern Texas Heart and Vascular Clinic, Pllc | Internal Medicine | 12501 Judson Rd Ste 202, Live Oak, TX 78233-4117 | 2013-04-10 |
| 1174834170 | Shalin S. Patel | Internal Medicine | 12709 Toepperwein Rd Ste 308, Live Oak, TX 78233-3260 | 2010-06-24 |
| 1548211477 | George Palomino | Internal Medicine | 12709 Toepperwein Rd Ste 306, Live Oak, TX 78233-3223 | 2006-05-15 |
| 1336302264 | Gabriel Bezel Mufuka | Internal Medicine | 1116 11th St Sw, Live Oak, FL 32064-3608 | 2008-07-10 |
| 1619148848 | Jack L. Martin, M.d., P.a. | Internal Medicine | 12709 Toepperwein Rd, Ste 205, Live Oak, TX 78233-3258 | 2008-03-15 |
| 1437149630 | Subrata Krishna Talukdar | Internal Medicine | 12709 Toepperwein Rd, Suite 306, Live Oak, TX 78233-3258 | 2005-10-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205433455 | Chalkias Cardiology Pllc | Internal Medicine | 11671 Jollyville Rd Ste 120, Austin, TX 78759-4141 | 2020-10-01 |
| 1992318992 | Us Televero Health Pa | Internal Medicine | 1204 Rockcliff Rd, Austin, TX 78746-1604 | 2020-08-28 |
| 1245856087 | Texas Heart Medical Group | Internal Medicine | 6770 Bertner Avenue, Houston, TX 77030-2604 | 2020-06-17 |
| 1043831753 | Shawn Sommerlad Pllc | Internal Medicine | 322 Robin Way, Richardson, TX 75080-2522 | 2020-05-04 |
| 1295354611 | Cardiocentric | Internal Medicine | 1401 Seminole Dr, Richardson, TX 75080-3738 | 2020-04-15 |
| 1134750995 | Specialized Heart Care, Pllc. | Internal Medicine | 7200 N Highway 161 Ste 205, Irving, TX 75039-4132 | 2020-01-30 |
| 1114578978 | Amir Azeem, Md, Pa | Internal Medicine | 5306 Clouds Creek Ln, Sugar Land, TX 77479-4940 | 2019-09-24 |
| 1831740802 | Premier Heart Center, Pllc | Internal Medicine | 10440 N Central Expy Ste 1400, Dallas, TX 75231-2235 | 2019-09-21 |
| 1124677042 | Kirk M Lipscomb | Internal Medicine | 2902 Canyon Creek Dr, Richardson, TX 75080-1503 | 2019-09-04 |
| 1790333516 | C Care Cardiovascular Center | Internal Medicine | 1445 Bessemer Dr Ste E, El Paso, TX 79936-5909 | 2019-08-27 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on DR. JEFFREY CLAY FLETCHER JR..
| 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.