FREDERICKSBURG FAMILY CLINIC PA (NPI# 1053464982) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053464982 |
| Entity Type | Organization |
| Organization Name | FREDERICKSBURG FAMILY CLINIC PA |
| Other Organization Name | CORNERSTONE CLINIC AT COMFORT |
| Practice Address |
815 Front St Comfort TX 78013 |
| Mailing Address |
200 W Windcrest St Fredericksburg TX 78624-4408 |
| Practice Telephone | 8309955633 |
| Mailing Telephone | 8309970330 |
| Enumeration Date | 2007-01-22 |
| Last Update Date | 2015-01-07 |
| Authorized Official Name | MS. CATHY DONAHY (OFFICE MANAGER) |
| Authorized Official Telephone | 8309970330 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | MEDICAID EPSDT | 189877702 | 01 |
| TX | MEDICARE RAILROAD | DG7779 | 01 |
| TX | BCBSTX | 0009QH | 01 |
| TX | 189877703 | 05 |
| Other Name | Type Code |
|---|---|
| Cornerstone Clinic at Comfort | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306917141 | Fredericksburg Family Clinic Pa | Family Medicine | 514 W Windcrest St, Fredericksburg, TX 78624-4633 | 2006-11-13 |
| Street Address |
815 FRONT ST |
| City | COMFORT |
| State | TX |
| Zip Code | 78013 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245225135 | Nancy M Rickerhauser | Family Medicine | 815 Front St, Comfort, TX 78013-0156 | 2005-09-16 |
| 1649458696 | Karen G Cornett Md Pa | Family Medicine | 815 Front St, Comfort, TX 78013-0156 | 2008-02-01 |
| 1427236561 | John P Ramsay Md Pa | Family Medicine | 815 Front St, Comfort, TX 78013-0156 | 2008-01-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811471238 | Kara Deverter | Occupational Therapy Assistant | 615 Faltin St, Comfort, TX 78013 | 2018-09-21 |
| 1245737527 | Comfort Independent School District | Local Education Agency (LEA) | 327 High Street, Comfort, TX 78013 | 2018-04-12 |
| 1902226244 | Trinity Nursing and Rehabilitation of Comfort, Lp | Skilled Nursing Facility | 615 Faltin Street, Comfort, TX 78013 | 2014-04-25 |
| 1598985764 | Comfort Center for Dentistry, Pa | Dentist | 210b Hwy. 87 N., Comfort, TX 78013 | 2007-04-27 |
| 1679791354 | Charlotte Ann Goodale | Dentist | #14 Hwy 87, Comfort, TX 78013 | 2007-04-20 |
| 1326154568 | Kristen Lindner | Dentist | 702 Altgelt St., Comfort, TX 78013 | 2006-08-21 |
| 1902888134 | Doris Marie Leist | Surgery | 123 Fm 1621, Comfort, TX 78013 | 2005-11-15 |
| 1851577035 | Sue E. Crow, M.d. | Internal Medicine | 815 Front Street, Comfort, TX 78013-0156 | 2008-01-17 |
| 1124169024 | William G Heczko | Dentist | 26 Hwy 27, Comfort, TX 78013-0568 | 2007-02-12 |
| 1649384637 | Mikosh Drug Company, LLC | Pharmacy | 404 Highway 27, Comfort, TX 78013-2173 | 2006-08-18 |
| Find all providers in zip 78013 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023394970 | Jamie R Wiseman | Family Medicine | 10012 N Creek Rd, Comfort, TX 78013-3700 | 2011-10-24 |
| 1245225135 | Nancy M Rickerhauser | Family Medicine | 815 Front St, Comfort, TX 78013-0156 | 2005-09-16 |
| 1649458696 | Karen G Cornett Md Pa | Family Medicine | 815 Front St, Comfort, TX 78013-0156 | 2008-02-01 |
| 1427236561 | John P Ramsay Md Pa | Family Medicine | 815 Front St, Comfort, TX 78013-0156 | 2008-01-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669073599 | Julie Suzanne Rodriguez | Family Medicine | 421 W Wadley Ave Ste B, Midland, TX 79705-5368 | 2020-11-06 |
| 1871194670 | Priscilla Tehrani | Family Medicine | 615 North Loop E Unit 100, Houston, TX 77022-5934 | 2020-11-06 |
| 1821699976 | Dr. G Medical Solutions | Family Medicine | 4840 W Panther Creek Dr Ste 211, The Woodlands, TX 77381-3542 | 2020-11-05 |
| 1124629522 | Jose Reynaldo Carcamo Jr. | Family Medicine | 18568 Texas 46, Suite 1001, Spring Branch, TX 78070 | 2020-11-03 |
| 1205437662 | Angela Ekern | Family Medicine | 7421 Cordoba Dr, Austin, TX 78724-6252 | 2020-11-03 |
| 1770184020 | Kara Fenceroy | Family Medicine | 5425 Rolling Meadows Dr, Fort Worth, TX 76123-2836 | 2020-11-03 |
| 1881295327 | Courtney L Buchmeier | Family Medicine | 16620 San Pedro Ave, San Antonio, TX 78232-2327 | 2020-11-02 |
| 1003416207 | Adeline Galvez | Family Medicine | 1300 W Terrell Ave Ste 270, Fort Worth, TX 76104-2820 | 2020-10-27 |
| 1710585229 | Megan Alyse Loyd | Family Medicine | 2101 Kingsley Dr Apt 3106, Pearland, TX 77584-4118 | 2020-10-16 |
| 1104424795 | Rachel Elizabeth Whitten | Family Medicine | 614 S Business Ih 35 Ste A, New Braunfels, TX 78130-4748 | 2020-10-15 |
| Find all providers with the same taxonomy | ||||
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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.