JACK JOSEPH HACHEM (NPI# 1073074936) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073074936 |
| Entity Type | Individual |
| Full Name | JACK JOSEPH HACHEM |
| Credential | MD |
| Practice Address |
333 N Santa Rosa St San Antonio TX 78207-3108 |
| Mailing Address |
105 Calvi Ct Bellaire TX 77401-5108 |
| Practice Telephone | 2107042011 |
| Mailing Telephone | 2817538560 |
| Enumeration Date | 2019-03-25 |
| Last Update Date | 2019-03-25 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
333 N SANTA ROSA ST |
| City | SAN ANTONIO |
| State | TX |
| Zip Code | 78207-3108 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831191071 | Martha Ruth Morse | Pediatrics | 333 N Santa Rosa St, San Antonio, TX 78207-3108 | 2005-06-01 |
| 1629698816 | Shanice Latham | Student in an Organized Health Care Education/Training Program | 333 N Santa Rosa St, San Antonio, TX 78207-3108 | 2020-04-17 |
| 1568082899 | Francesca Michelle Lormeus | Student in an Organized Health Care Education/Training Program | 333 N Santa Rosa St, San Antonio, TX 78207-3108 | 2020-04-16 |
| 1396387999 | Rachel H Brownlee-kurita | Dietitian, Registered | 333 N Santa Rosa St, San Antonio, TX 78207-3108 | 2019-10-15 |
| 1063063691 | Madeline Berndt | Dietitian, Registered | 333 N Santa Rosa St, San Antonio, TX 78207-3108 | 2019-09-25 |
| 1093366627 | Valerie Lynn O'bar | Dietitian, Registered | 333 N Santa Rosa St, San Antonio, TX 78207-3108 | 2019-09-25 |
| 1578114104 | Taryn Prado | Dietitian, Registered | 333 N Santa Rosa St, San Antonio, TX 78207-3108 | 2019-09-25 |
| 1891346417 | Emily Bitetto | Dietitian, Registered | 333 N Santa Rosa St, San Antonio, TX 78207-3108 | 2019-09-25 |
| 1164073789 | Amy Bellanger | Dietitian, Registered | 333 N Santa Rosa St, San Antonio, TX 78207-3108 | 2019-09-25 |
| 1083265656 | Christus Santa Rosa Health Care Corporation | Dietitian, Registered | 333 N Santa Rosa St, San Antonio, TX 78207-3108 | 2019-09-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457999849 | Eri Industries, LLC, Dba Eri Group Homes | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2300 W. Commerce#216, San Antonio, TX 78207 | 2019-12-16 |
| 1164087854 | Jesse G Trevino | Student in an Organized Health Care Education/Training Program | 700 S Zarzamora Ste 209, San Antonio, TX 78207 | 2019-05-08 |
| 1669036869 | Anjali Patel | Student in an Organized Health Care Education/Training Program | 903 W. Martin Street, San Antonio, TX 78207 | 2019-04-24 |
| 1811488257 | Thomas Ellis Tippit Sr. | Dentist | 711 North Frio St, San Antonio, TX 78207 | 2018-05-22 |
| 1619426053 | Erica Annotti | Nurse Practitioner | 903 W Martin St Fl 6, San Antonio, TX 78207 | 2016-09-27 |
| 1801255435 | Mona Anwar El-kady | Audiologist | 411 S.w. 24th St, Jersig Building J119, San Antonio, TX 78207 | 2016-02-10 |
| 1053785683 | Lisa Marie Ramos | Speech-Language Pathologist | 230 Rounds, San Antonio, TX 78207 | 2015-11-19 |
| 1568840221 | Gabriel Tamayo | Physical Therapist | 701 S Zarzarmora, San Antonio, TX 78207 | 2015-05-14 |
| 1588042717 | Priya Amin | Podiatrist | 701 S Zarzamora St Ste 2120, San Antonio, TX 78207 | 2015-05-07 |
| 1437545837 | Jesse Banales | Student in an Organized Health Care Education/Training Program | 333 North Santa Road, Ccf-f3725, San Antonio, TX 78207 | 2015-04-13 |
| Find all providers in zip 78207 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255942884 | Thomas Ballas | Student in an Organized Health Care Education/Training Program | 3551 Roger Brooke Drive Jbsa-fort Sam Houston, Department of Behavioral Medicine-mche-dbm, San Antonio, TX 78234 | 2020-08-17 |
| 1851909147 | Shayan Ahmed | Student in an Organized Health Care Education/Training Program | 7703 Floyd Curl Dr # 7742, San Antonio, TX 78229-3901 | 2020-07-22 |
| 1306464524 | Nancy Mo | Student in an Organized Health Care Education/Training Program | Ut Health Science Center At San Antonio - Agdc, 8210 Floyd Curl Drive, Msc 8103, San Antonio, TX 78229-3923 | 2020-07-14 |
| 1073131587 | Keaton Shin | Student in an Organized Health Care Education/Training Program | 7123 Gallery Rdg, San Antonio, TX 78250-3305 | 2020-07-10 |
| 1619595154 | Sarah Connell | Student in an Organized Health Care Education/Training Program | Ut Health Science Center At San Antonio- Aegd, 8210 Floyd Curl Dr Msc 8103, San Antonio, TX 78229-3923 | 2020-07-10 |
| 1336767466 | Dalyssa Renee Gonzalez | Student in an Organized Health Care Education/Training Program | 24165 Ih 10 W Ste 125, San Antonio, TX 78257-1160 | 2020-07-06 |
| 1740807197 | Bradley James Miller | Student in an Organized Health Care Education/Training Program | 146 Agency Oaks, San Antonio, TX 78249-1538 | 2020-07-01 |
| 1396361085 | Tu Dao | Student in an Organized Health Care Education/Training Program | 8338 Hudson Holw, San Antonio, TX 78254-4588 | 2020-06-18 |
| 1386267730 | Juliana Gaviria Velasquez | Student in an Organized Health Care Education/Training Program | 5039 Hamilton Wolfe Rd Apt 1207, San Antonio, TX 78229-4457 | 2020-05-20 |
| 1477175065 | David Alonso Martinez | Student in an Organized Health Care Education/Training Program | 11659 Tribute Oaks, San Antonio, TX 78254-2103 | 2020-05-18 |
| Find all providers in SAN ANTONIO | ||||
| City | SAN ANTONIO |
| Zip Code | 78207 |
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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.