MS. CHANISE CYRUS


Address: 1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, TX 78236-5638
Phone: 2102924277

MS. CHANISE CYRUS (NPI# 1083080691) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1083080691
Entity Type Individual
Full Name MS. CHANISE CYRUS
Credential PA-C, DSC, MPAS
Practice Address 1100 Wilford Hall Loop Bldg 4554
Jbsa Lackland
TX 78236-5638
Mailing Address 1100 Wilford Hall Loop
Lackland Afb
TX 78236-5638
Practice Telephone 2102924277
Mailing Telephone 2102925050
Enumeration Date 2015-08-18
Last Update Date 2020-03-03
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 363A00000X Physician Assistant Physician Assistants & Advanced Practice Nursing Providers
Y 363AS0400X Physician Assistant
Specialization: Surgical Technologist
Physician Assistants & Advanced Practice Nursing Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
271 Fort Richardson Ave, Goodfellow Afb, TX 769084901 3256543116

Office Location

Street Address 1100 WILFORD HALL LOOP BLDG 4554
City JBSA LACKLAND
State TX
Zip Code 78236-5638

Providers in the same location

NPI Name Taxonomy Address Enumeration
1639176266 Peter S Scholler Nurse Practitioner 1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, TX 78236 2005-06-28
1376144428 Steven Hilton Physician Assistant 1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, TX 78236-5638 2020-11-05
1235759077 Courtney Kelly Dentist 1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, TX 78236-5638 2020-04-22
1326667783 Shreena Reddy Student in an Organized Health Care Education/Training Program 1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, TX 78236-5638 2020-04-15
1114556685 Magin Day Student in an Organized Health Care Education/Training Program 1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, TX 78236-5638 2020-04-06
1346879038 Caitlin Gonsolin Student in an Organized Health Care Education/Training Program 1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, TX 78236-5638 2020-04-03
1497383756 Jerry Andrew Peer Student in an Organized Health Care Education/Training Program 1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, TX 78236-5638 2020-03-31
1083241103 Brian Patrick Staak Student in an Organized Health Care Education/Training Program 1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, TX 78236-5638 2020-03-26
1902438583 Andrew Kim Physical Therapist 1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, TX 78236-5638 2020-02-11
1326694845 Ross Stanley Dentist 1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, TX 78236-5638 2019-08-12
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 363AS0400X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Surgical Technologist

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1801952015 Michael J Rutter Physician Assistant 1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, TX 78236 2006-12-29
1548228398 Kelly Anne Rayburn Physician Assistant 1100 Wilford Hall Loop, Jbsa Lackland, TX 78236-5638 2006-05-02
1437119195 Joseph Marshall Bartle II Physician Assistant 1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, TX 78236-5638 2006-03-27

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1275133340 Mark Alan Williams Physician Assistant 4814 Lake Livingston Dr, Corpus Christi, TX 78413-5139 2020-10-28
1669081238 Manuel V Leyva Physician Assistant 8407 Sunset Loch Dr, Spring, TX 77379-5121 2020-07-29
1194342212 Sean Robert Jamieson Physician Assistant 2700 E Broad St Ste 200, Mansfield, TX 76063-5899 2020-07-06
1588284194 Hill Country Surgical Management, Inc Physician Assistant 10454 Tippecanoe, San Antonio, TX 78245-3128 2020-04-23
1407475585 Serenity Surgical Services Physician Assistant 3260 Springbok Cir, Frisco, TX 75034-3671 2020-04-09
1720610470 Surgical Assistants of South Texas Physician Assistant 3414 Highway 146 S, La Porte, TX 77571-7400 2020-02-11
1710524103 R & H Surgical Services, LLC Physician Assistant 14507 Parkesgate Dr, Houston, TX 77083-5792 2019-12-04
1639711195 Landry & Kiejna Surgical Assisting Physician Assistant 1120 Business Center Dr Ste 110, Houston, TX 77043-2735 2019-10-16
1912558693 Chandrant Akshar Pa Physician Assistant 400 W Arbrook Blvd Ste 230, Arlington, TX 76014-3174 2019-09-24
1700435831 Christina A Vogel-rosbrook Physician Assistant 4330 Medical Drive, Suite 120, San Antonio, TX 78229-3353 2019-09-11
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Competitor

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City JBSA LACKLAND
Zip Code 78236

Improve Information

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Dataset Information

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.

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