ASPEN MEDICAL LLC (NPI# 1093158289) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1093158289 |
Entity Type | Organization |
Organization Name | ASPEN MEDICAL LLC |
Practice Address |
524 Exchange Ave Suite C Schertz TX 78154-2116 |
Mailing Address |
Po Box 592442 San Antonio TX 78259-0172 |
Practice Telephone | 2105662333 |
Practice Fax Number | 2105661330 |
Mailing Telephone | 2105662333 |
Mailing Fax Number | 2105661330 |
Enumeration Date | 2013-04-08 |
Last Update Date | 2013-04-08 |
Authorized Official Name | MR. SCOTT LAROQUE (PRESIDENT) |
Authorized Official Telephone | 2105662333 |
Authorized Official Credential | CNIM |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
Allopathic & Osteopathic Physicians | ||
Y | 2084N0600X |
Psychiatry & Neurology Specialization: Clinical Neurophysiology |
Allopathic & Osteopathic Physicians |
Entity Type | Entity Name | Entity Address |
---|---|---|
Colorado Business Entities | ASPEN MEDICAL LLC | 3502 Paesanos Parkway, Suite 100, Shavano Park, TX 78231 |
Street Address |
524 EXCHANGE AVE SUITE C |
City | SCHERTZ |
State | TX |
Zip Code | 78154-2116 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1346557873 | Christopher Randall Mciver | Specialist/Technologist, Other | 524 Exchange Ave, Ste C, Schertz, TX 78154-2116 | 2010-09-03 |
1306272836 | Abigail Zimmerman | Specialist/Technologist, Other | 524 Exchange Ave, Suite C, Schertz, TX 78154-2116 | 2013-09-16 |
1578996088 | Bradley Shults | Specialist/Technologist, Other | 524 Exchange Ave, Schertz, TX 78154-2116 | 2013-08-20 |
1144662818 | Hannah Mae Scott | Specialist/Technologist, Other | 524 Exchange Ave, Schertz, TX 78154-2116 | 2013-07-23 |
1396187126 | Lewis William Hendrick | Specialist/Technologist, Other | 524 Exchange Ave, Schertz, TX 78154-2116 | 2013-07-22 |
1245677343 | Jordan Gehde Miller | Specialist/Technologist, Other | 524 Exchange Ave, Suite C, Schertz, TX 78154-2116 | 2013-05-29 |
1629411624 | Matthew Ryan Montgomery | Specialist/Technologist, Other | 524 Exchange Ave, Suite C, Schertz, TX 78154-2116 | 2013-04-10 |
1700229606 | Lauren Furgala | Specialist/Technologist, Other | 524 Exchange Ave, Suite C, Schertz, TX 78154-2116 | 2013-04-10 |
1205279445 | Ezzat Ayad Lamaie | Specialist/Technologist, Other | 524 Exchange Ave, Schertz, TX 78154-2116 | 2013-04-08 |
1225379209 | Bradley Dayton Bailey Jr. | Specialist/Technologist, Other | 524 Exchange Ave, Suite C, Schertz, TX 78154-2116 | 2013-03-15 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1083229256 | Deann Fierro | Counselor | 3728 Hull Sreet, Schertz, TX 78154 | 2020-09-14 |
1467097949 | Fresenius Medical Care San Antonio, LLC | Clinic/Center | 1787 Fm 3009, Schertz, TX 78154 | 2019-11-08 |
1881237113 | Erica Lizet Scherzinger | Nurse Practitioner | 1205 N Sh 1604 Loop W Frontage Rd, San Antonio, TX 78154 | 2019-10-18 |
1831740752 | La'wanda Myers | Social Worker | 19315 Farm To Market Road 2252, Garden Ridge, TX 78154 | 2019-09-23 |
1467006619 | Vanessa Biesenbach | Behavior Technician | 133 Windy Meadows, Suite 101, Schertz, TX 78154 | 2019-07-26 |
1043874308 | Jessica Gail Rourke | Occupational Therapist | 5700 Schertz Parkway Ste 100, Schertz, TX 78154 | 2019-04-23 |
1750871729 | Jenna Kamaile Nurial Dacalio | Behavioral Analyst | 15620 York Lane, Selma, TX 78154 | 2018-05-15 |
1235630070 | Ginger Odom | Speech-Language Pathologist | 1600 Shady Brook, Schertz, TX 78154 | 2018-02-27 |
1295235588 | Timothy Marcus Egbuka | Pharmacist | 17115 Interstate 35 N Ste 123, Schertz, TX 78154 | 2018-02-14 |
1013423110 | Polite Transit LLC | Non-emergency Medical Transport (VAN) | 16222 Horse Brg, Selma, TX 78154 | 2017-12-27 |
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Taxonomy Code | 2084N0600X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Psychiatry & Neurology |
Specialization | Clinical Neurophysiology |
Clinical Neurophysiology is a subspecialty with psychiatric or neurologic expertise in the diagnosis and management of central, peripheral, and autonomic nervous system disorders using combined clinical evaluation and electrophysiologic testing such as electroencephalography (EEG), electromyography (EMG), and nerve conduction studies (NCS). |
Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1619271541 | Medical Diagnostics Neurology Services, Pllc | Psychiatry & Neurology | 524 Exchange Ave Ste C, Schertz, TX 78154-2116 | 2011-01-06 |
1043591100 | Independent Neurophysiology Pllc | Psychiatry & Neurology | 524 Exchange Ave Ste C, Schertz, TX 78154-2116 | 2011-09-02 |
1619261070 | Houston Neuro Science Pllc | Psychiatry & Neurology | 524 Exchange Ave Ste C, Schertz, TX 78154-2116 | 2011-06-02 |
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1770195307 | Quor Health Iom LLC | Psychiatry & Neurology | 950 Threadneedle St Ste 120, Houston, TX 77079-2903 | 2020-08-17 |
1811516503 | Onetwo Stars | Psychiatry & Neurology | 118 Broadway St Ste 221, San Antonio, TX 78205-2088 | 2020-04-13 |
1740832120 | Southwest Neurophysiology, Pllc | Psychiatry & Neurology | 800 W Arbrook Blvd Ste 340, Arlington, TX 76015-4317 | 2019-07-15 |
1902467640 | Advanced Neurophysiology Associates PC | Psychiatry & Neurology | 136 Eldridge Rd Ste A, Sugar Land, TX 77478-4646 | 2019-06-24 |
1750896973 | Velocity Neuro, LLC | Psychiatry & Neurology | 7555 Deerlodge Trl, Fort Worth, TX 76137-4138 | 2017-12-11 |
1316461304 | Cns Neueospinemonitoring Pllc | Psychiatry & Neurology | 26 E. Loftwood Cir, The Woodlands, TX 77382 | 2017-08-01 |
1336522051 | Comprehensive Neuromonitoring Pllc | Psychiatry & Neurology | 1411 N Loop 1064 E 105-612, San Antonio, TX 78232 | 2015-06-30 |
1225421829 | Alamo City Neurodiagnostics, Pllc | Psychiatry & Neurology | 14439 Nw Military Highway, Ste 108 #301, San Antonio, TX 78231-1648 | 2015-03-06 |
1912307216 | Nerve & Cord Monitoring, Pllc | Psychiatry & Neurology | 5706 E Mockingbird Lane, Ste 115 #404, Dallas, TX 75206-5461 | 2014-08-25 |
1477960128 | Cushing Neuromonitoring, Pllc | Psychiatry & Neurology | 3824 Ceder Spring Road, #380, Dallas, TX 75219 | 2014-07-15 |
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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.