JONATHAN R CORSINI (NPI# 1013334945) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013334945 |
| Entity Type | Individual |
| Full Name | JONATHAN R CORSINI |
| Practice Address |
2200 Bergquist Drive, 59 Mdw/gme Wilford Hall Ambulatory Surgical Center Jbsa-fort Sam Houston TX 78236-9908 |
| Practice Telephone | 2102925077 |
| Practice Fax Number | 2102927868 |
| Mailing Telephone | 2102925077 |
| Mailing Fax Number | 2102927868 |
| Enumeration Date | 2014-03-28 |
| Last Update Date | 2016-12-07 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | 28984 | NE | Allopathic & Osteopathic Physicians |
| Street Address |
2200 BERGQUIST DRIVE, 59 MDW/GME WILFORD HALL AMBULATORY SURGICAL CENTER |
| City | JBSA-FORT SAM HOUSTON |
| State | TX |
| Zip Code | 78236-9908 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063047363 | Arnoldo Arturo Gonzalez Jr. | Specialist/Technologist | 1033 Truemper St, Lackland Afb, TX 78236 | 2020-03-06 |
| 1023643343 | Meredith Grace Cockerell | Specialist/Technologist | W Military Drive, San Antonio, TX 78236 | 2020-03-06 |
| 1578120598 | Hali Rashelle Hall | Dentist | 1615 Truemper St, Blg 6418, Attn: 59ds/sgdn, Jbsa Lackland, TX 78236 | 2019-05-24 |
| 1952967077 | Paul Fianza Boseman | Nurse Practitioner | 1106 Wilford Hall Loop, San Antonio, TX 78236 | 2019-05-14 |
| 1689161978 | Kelly Jones Buckshire | Dentist | Dunn Dental Clinic, 1615 Truemper Rd, San Antonio, TX 78236 | 2018-04-23 |
| 1902308570 | Roger Louis Farney | Student in an Organized Health Care Education/Training Program | 1100 Wilford Hall Loop Bldg. 4554, Jbsa Lackland Afb, TX 78236 | 2018-02-28 |
| 1568916856 | Thomas Maxwell Woolf | Dentist | 1100 Wilford Hall Ambulatory Surgical Center, Lackland Afb, TX 78236 | 2016-08-04 |
| 1831544956 | Michael Veronneau | Student in an Organized Health Care Education/Training Program | 59 Mdw/ge 1100 Wilford Hall Loop, Bldg. 4554, Jbsa Lackland, TX 78236 | 2016-04-26 |
| 1376906958 | David Kephart Jr. | General Practice | 1100 Wilford Hall Loop Bldg 4454, Jbsa Lackland, TX 78236 | 2016-04-01 |
| 1184084089 | Olivia Arballo | Dermatology | Wilford Hall Asc, Attn: Dept of Dermatology, 1100 Wilford Hall Loop Bldg 4554, Jbsa-lackland, TX 78236 | 2016-03-04 |
| Find all providers in zip 78236 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528565272 | Leilani Holbrook | General Practice | San Antonio Military Medical Center, Mche-zpl-a, Pathology Residency, 3551 Roger Brooke Dr, Jbsa-fort Sam Houston, TX 78234-4504 | 2018-04-10 |
| 1417453556 | Hannah Ruth Rose | General Practice | Sammc, Mche-zpla, Pathology Residency, 3551 Roger Brooke Dr, Jbsa-fort Sam Houston, TX 78234 | 2018-04-05 |
| 1346746914 | Rocky Fox | General Practice | San Antonio Military Medical Center, Mche-zdm-m, Internal Medicine Residency, 3551 Roger Brooke Dr., Jbsa-fort Sam Houston, TX 78234-4504 | 2018-04-03 |
| 1184129116 | Erin Swan | General Practice | San Antonio Military Center, Mche-zso, Orthopaedic Res, 3551 Roger Brooke Dr., Jbsa-fort Sam Houston, TX 78234-4504 | 2018-03-30 |
| 1285138214 | Lisa Claire Townsend | General Practice | Sammc, Mche-zdm-m, Internal Medicine Residency, 3551 Roger Brooke Dr, Jbsa-fort Sam Houston, TX 78234-4504 | 2018-03-23 |
| 1861996670 | Cynthia Renee Sacco | General Practice | San Antonio Military Medical Center, Mche-zsg Residency, 3551 Roger Brooke Drive, Jbsa-fort Sam Houston, TX 78234-4504 | 2018-03-19 |
| 1841792405 | Robert Thomas Powers | General Practice | Sammc, Mche-zso, Orthopaedic Residency, 3551 Roger Brooke Dr, Jbsa-fort Sam Houston, TX 78234 | 2018-02-28 |
| 1912431172 | Cyrus Veryl Edelson | General Practice | 3551 Roger Brooke Dr. Internal Medicine Residency, San Antonio Military Medical Center, Mche-zdm-m, Jbsa-fort Sam Houston, TX 78234-4504 | 2017-04-14 |
| 1275073561 | Jamie Geringer | General Practice | 3551 Roger Brooke Dr., Internal Medicine Residency, San Antonio Military Medical Center, Mche-zdm-m, Jbsa-fort Sam Houston, TX 78234-4504 | 2017-03-06 |
| 1790225662 | Kevin Peterson | General Practice | 3551 Rodger Brooke Dr, Anesthesia Residency, Jbsa-fort Sam Houston, TX 78234-4504 | 2017-02-27 |
| Find all providers in JBSA-FORT SAM HOUSTON | ||||
| City | JBSA-FORT SAM HOUSTON |
| Zip Code | 78236 |
Please comment or provide details below to improve the information on JONATHAN R CORSINI.
| 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.