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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 208800000X | Urology | D0310 | TX | Allopathic & Osteopathic Physicians |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1528010345 | Jackie Lyn Stephenson | Advanced Practice Midwife | 2702 Navarre Ave Ste 305, Oregon, OH 43616-3224 | 2006-05-17 |
Street Address |
124 DALLAS ST |
City | SAN ANTONIO |
State | TX |
Zip Code | 78205-1202 |
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 |
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 Code | 208800000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Urology |
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. |
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 |
City | SAN ANTONIO |
Zip Code | 78205 |
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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.