BEAVER MEDICAL GROUP, PLLC (NPI# 1093038648) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093038648 |
| Entity Type | Organization |
| Organization Name | BEAVER MEDICAL GROUP, PLLC |
| Practice Address |
7541 Us Highway 87 E. Suite #1 San Antonio TX 78263-2407 |
| Mailing Address |
7541 Us Highway 87 E. Suite #1 San Antonio TX 78263 |
| Practice Telephone | 2106489900 |
| Practice Fax Number | 2106489902 |
| Mailing Telephone | 2106489900 |
| Mailing Fax Number | 2106489902 |
| Enumeration Date | 2010-03-10 |
| Last Update Date | 2019-04-09 |
| Authorized Official Name | TRACEY L FRIAS (PRACTICE MANAGER) |
| Authorized Official Telephone | 2106489900 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363L00000X | Nurse Practitioner | Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians |
| Street Address |
7541 US HIGHWAY 87 E. SUITE #1 |
| City | SAN ANTONIO |
| State | TX |
| Zip Code | 78263-2407 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821514324 | Diane L Miller | Registered Nurse | 4220 Lane Drive, China Grove, TX 78263 | 2017-08-16 |
| 1215068739 | Victoria Diana Burg | Dental Hygienist | 6961 Hwy 87 East, San Antonio, TX 78263 | 2007-03-08 |
| 1386163111 | Jennifer Knowlton | Occupational Therapist | 8255 Fm 1346, San Antonio, TX 78263-1009 | 2017-09-13 |
| 1871783324 | Buena Vista Pharmacy, Inc | Pharmacy | 8920 Us Highway 87 E Ste 4a, San Antonio, TX 78263-2238 | 2007-07-31 |
| 1215363544 | Kellum Physician Partners, Pa | Physician Assistant | 8870 Us Highway 87 E, San Antonio, TX 78263-2242 | 2013-09-18 |
| 1679076061 | Alexander Cizek | Chiropractor | 7541 Us Highway 87 E, China Grove, TX 78263-2406 | 2018-03-13 |
| 1689665887 | Gail Lynn Beaver | Nurse Practitioner | 7541 Us Highway 87, E, Suite #1, San Antonio, TX 78263-2407 | 2005-11-04 |
| 1164059341 | Carrie Lea Andrews | Counselor | 7955 Real Rd, San Antonio, TX 78263-3003 | 2020-03-26 |
| 1013480201 | Erika Lindsey | Licensed Vocational Nurse | 2763 Fm 1516 S, San Antonio, TX 78263-5049 | 2019-01-10 |
| 1396876983 | Professionals In Dentistry, Pa | Dentist | 6961 Us Highway 87 E, San Antonio, TX 78263-6029 | 2007-03-08 |
| Find all providers in zip 78263 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://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 |
|---|---|---|---|---|
| 1760080014 | Stephanie Kennedy | Internal Medicine | 503 E Sonterra Blvd, San Antonio, TX 78258-4058 | 2020-10-09 |
| 1356966287 | All-american Allergy Asthma & Immunology Center | Internal Medicine | 1303 Mccullough Ave Ste 362, San Antonio, TX 78212-5620 | 2020-06-16 |
| 1154945913 | Primera Wellness LLC | Internal Medicine | 1603 Babcock Rd Ste 238-2, San Antonio, TX 78229-4708 | 2020-06-07 |
| 1982244612 | Douglas Shawn Owens | Internal Medicine | 503 E Sonterra Blvd Ste 102, San Antonio, TX 78258-4059 | 2020-01-10 |
| 1053872937 | Southern Texas Physicians,llc | Internal Medicine | 14345 Blanco Rd, San Antonio, TX 78216-7723 | 2019-03-25 |
| 1568929479 | Abc Medical Concierge LLC | Internal Medicine | 2838 N Loop 1604 E Ste 104, San Antonio, TX 78232-1712 | 2019-02-27 |
| 1861972796 | Integrative Health Solution, LLC | Internal Medicine | 10007 Huebner Rd Ste 106, San Antonio, TX 78240-1646 | 2018-08-20 |
| 1528553039 | Remington Wellness Group Dba Truemed Health Centers | Internal Medicine | 525 Oak Centre Dr Ste 230, San Antonio, TX 78258-3916 | 2018-06-27 |
| 1942733662 | Tasnim Islam | Internal Medicine | 12446 West Ave Ste 102, San Antonio, TX 78216-2530 | 2017-04-10 |
| 1154866135 | Chris Dire | Internal Medicine | 3551 Roger Brooke Dr., Jbsa-fort Sam Houston, San Antonio Military Medical Center, San Antonio, TX 78234-4504 | 2016-12-29 |
| Find all providers in SAN ANTONIO | ||||
| City | SAN ANTONIO |
| Zip Code | 78263 |
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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.