DR. JACKIE D STEPHENSON


Address: 124 Dallas St, San Antonio, TX 78205-1202
Phone: 2102241771

DR. JACKIE D STEPHENSON (NPI# 1093829137) 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) 1093829137
Entity Type Individual
Full Name DR. JACKIE D STEPHENSON
Credential M.D.
Practice Address 124 Dallas St
San Antonio
TX 78205-1202
Practice Telephone 2102241771
Practice Fax Number 2102299138
Mailing Telephone 2102241771
Mailing Fax Number 2102299138
Enumeration Date 2006-08-18
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208800000X Urology D0310 TX Allopathic & Osteopathic Physicians

Other Providers JACKIE STEPHENSON

NPI Name Taxonomy Address Enumeration
1528010345 Jackie Lyn Stephenson Advanced Practice Midwife 2702 Navarre Ave Ste 305, Oregon, OH 43616-3224 2006-05-17

Office Location

Street Address 124 DALLAS ST
City SAN ANTONIO
State TX
Zip Code 78205-1202

Providers in the same location

NPI Name Taxonomy Address Enumeration
1982718185 Charles H Beckmann Internal Medicine 124 Dallas St, San Antonio, TX 78205-1202 2006-08-18
1598116238 Britany Lyn Kelley Nurse Practitioner 124 Dallas St, San Antonio, TX 78205-1202 2016-06-23
1558765727 Kindra Clark Nurse Practitioner 124 Dallas St, San Antonio, TX 78205-1202 2014-10-17
1811001936 Clay R Skinner Surgery 124 Dallas St, San Antonio, TX 78205-1202 2006-08-18
1639283765 Douglas W. Jenkins Internal Medicine 124 Dallas St, San Antonio, TX 78205-1202 2006-08-18
1407960552 Lovelesh K Manocha Internal Medicine 124 Dallas St, San Antonio, TX 78205-1202 2006-08-18
1760596944 Skinner Clinic, Pa Internal Medicine 124 Dallas St, San Antonio, TX 78205-1202 2006-08-18

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1144862947 Xeras Medical Technologies, Inc. Durable Medical Equipment & Medical Supplies 315 E. Commerce Street Suite 203, San Antonio, TX 78205 2019-10-13
1538631676 Olga Skirda Physician Assistant 610 North Main Avenue, San Antonio, TX 78205 2018-12-31
1508381757 Davis Vision Inc Eyewear Supplier (Equipment, not the service) 175 E Houston, San Antonio, TX 78205 2017-08-09
1841647138 Karen Tanguma Counselor 700 North St. Mary's Street, Suite 1400, San Antonio, TX 78205 2016-05-17
1346652500 Lone Star Script Care LLC Case Management 310 S. S Mary's St, 1290, San Antonio, TX 78205 2014-05-22
1821227919 Teresa Yanhong Chen Optometrist 175 East Houston St, Visionworks, San Antonio, TX 78205 2009-07-09
1164650735 Mark Joseph Trevino Ophthalmology 414 Navarro St Ste 400, San Antonio, TX 78205 2009-06-23
1386882520 Nicolas A. Melgarejo Internal Medicine 343 W. Houston St., Suite #808, San Antonio, TX 78205 2009-01-26
1518135904 Khan Z Shirani Emergency Medicine 414 Navarro St Ste 500, San Antonio, TX 78205 2008-02-19
1619076700 Candace Lynese Bellamy Family Medicine 221 3rd St. West, San Antonio, TX 78205 2006-09-22
Find all providers in zip 78205

Taxonomy Information

Taxonomy Code 208800000X
Grouping Allopathic & Osteopathic Physicians
Classification Urology

Taxonomy Definition

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1508204181 John Lavin Urology 7909 Fredericksburg Rd Ste 120, San Antonio, TX 78229 2013-06-05
1881038412 Jose De La Cerda IIi Urology 3327 Research Plz Ste 403, San Antonio, TX 78235-5159 2013-04-25
1972896777 Daniel Zainfeld Urology 7909 Fredericksburg Rd Ste 130, San Antonio, TX 78229 2011-05-26
1720309685 Daniel Alberto Yelfimov Urology 7909 Fredericksburg Road Suite 130, San Antonio, TX 78229-3400 2010-06-15
1528204450 Cambridge Clinic of San Antonio, LLC Urology 4242 Woodcock Dr Ste 210, San Antonio, TX 78228-1336 2008-12-24
1669509006 Samuel Hakim Urology 11212 Highway 151, Suite # 180, San Antonio, TX 78251-4498 2007-02-27
1245378124 Jeffrey Leslie Urology 4499 Medical Dr Ste 347, San Antonio, TX 78229-3853 2007-02-02
1295748739 Rufino Salinas Urology 205 E Evergreen St, San Antonio, TX 78212-4316 2006-08-15
1326028713 Thomas K O'neill Urology 3327 Research Plaza, Sute 403, San Antonio, TX 78235 2006-01-20
1710967831 Joan T Meaney Urology 7434 Louis Pasteur Dr, Ste 215, San Antonio, TX 78229-4540 2006-01-17
Find all providers in SAN ANTONIO

Competitor

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City SAN ANTONIO
Zip Code 78205

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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