DR. EDWARD A PORRATA (NPI# 1114944048) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114944048 |
| Entity Type | Individual |
| Full Name | DR. EDWARD A PORRATA |
| Credential | M.D. |
| Practice Address |
4204 Garedendale Street Suite 312 San Antonio TX 78229 |
| Mailing Address |
4204 Garedendale Street Suite 312 San Antonio TX 78229-3141 |
| Practice Telephone | 2102936006 |
| Practice Fax Number | 2106141722 |
| Mailing Telephone | 2102936006 |
| Mailing Fax Number | 2106141722 |
| Enumeration Date | 2006-07-16 |
| Last Update Date | 2013-11-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207P00000X | Emergency Medicine | G2206 | TX | Allopathic & Osteopathic Physicians |
| Y | 2080P0204X |
Pediatrics Specialization: Pediatric Emergency Medicine |
G2206 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 134962301 | 05 | |
| TX | 134962307 | 05 | |
| TX | 134962309 | 05 | |
| TX | BCBSTX | 8BW920 | 01 |
| TX | BCBS | 83983F | 01 |
| Street Address |
4204 GAREDENDALE STREET SUITE 312 |
| City | SAN ANTONIO |
| State | TX |
| Zip Code | 78229 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245857226 | Lyndsey A Sandoval | Optometrist | 7400 Minton Miner St, San Antonio, TX 78229 | 2020-06-25 |
| 1295355311 | Nicolet Finger | Student in an Organized Health Care Education/Training Program | 7703 Floyd Curl Drive, Mc 7798, San Antonio, TX 78229 | 2020-04-18 |
| 1215557400 | Amy Elizabeth Werry | Clinical Neuropsychologist | 7703 Floyd Circle Drive, San Antonio, TX 78229 | 2020-04-17 |
| 1740822972 | Mohammad Safaie Yazdi | Student in an Organized Health Care Education/Training Program | Ut Health Science Center At San Antonio- Agdc, 8210 Floyd Curl Dr., Msc 8103, San Antonio, TX 78229 | 2019-10-09 |
| 1063053072 | Blas Edward Villa | Nurse Practitioner | 7703 Floyd Curl Drive Mc 7885 Pulmonary Diseases & Crit, Medicine, San Antonio, TX 78229 | 2019-10-01 |
| 1124673942 | Integrity Dme Services LLC | Durable Medical Equipment & Medical Supplies | 6323 Sovereign Dr, Suite # 170 Ab, San Antonio, TX 78229 | 2019-08-08 |
| 1730734120 | Marisa Erin Leyden | Speech-Language Pathologist | Joe R. & Teresa Lozano Long Campus, 7703 Floyd Curl Dr., San Antonio, TX 78229 | 2019-08-03 |
| 1285295741 | Alireza Ghezavati | Student in an Organized Health Care Education/Training Program | 7703 Floyd Curl Drive Mc 7750, Department of Pathology and Laboratory Medicine, San Antonio, TX 78229 | 2019-06-25 |
| 1407410285 | Denae Cheyenne Rushing | Student in an Organized Health Care Education/Training Program | 8201 Floyd Curl Drive, San Antonio, TX 78229 | 2019-04-26 |
| 1265993570 | Shehzad Amlani | Student in an Organized Health Care Education/Training Program | Address: 7703 Floyd Curl Dr, San Antonio, TX 78229 | 2019-03-28 |
| Find all providers in zip 78229 | ||||
| Taxonomy Code | 2080P0204X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Emergency Medicine |
| A pediatrician who has special qualifications to manage emergencies in infants and children. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972997500 | Alexander Henri | Pediatrics | 315 N San Saba Ste 1135, San Antonio, TX 78207 | 2015-03-20 |
| 1831506757 | Sheetal Khiyani | Pediatrics | 333 N Santa Rosa St, San Antonio, TX 78207-3108 | 2014-07-14 |
| 1487829115 | Tracy Elizabeth Mccallin | Pediatrics | 333 N Santa Rosa St, San Antonio, TX 78207-3108 | 2008-04-23 |
| 1104001957 | Travis Emergency Physicians Pllc | Pediatrics | 333 N Santa Rosa Ave, San Antonio, TX 78207-3108 | 2007-12-28 |
| 1689854895 | Ashu Kumar | Pediatrics | 333 N Santa Rosa St, San Antonio, TX 78207-3108 | 2007-11-06 |
| 1639360811 | Jamie Lynn Jaqua | Pediatrics | 520 Madison Oak Dr, San Antonio, TX 78258-3912 | 2007-08-05 |
| 1073625430 | Farooq Mirza | Pediatrics | 333 N Santa Rosa Ave, Christus Santa Rosa Childrens Hospital, San Antonio, TX 78207-3108 | 2006-08-31 |
| 1316961402 | Allen R Potter | Pediatrics | 8401 Datapoint Dr, Suite 500, San Antonio, TX 78229-5907 | 2006-07-26 |
| 1093735375 | Sebrina D Perkins | Pediatrics | 4204 Gardendale St, Ste 312, San Antonio, TX 78229-3132 | 2006-07-20 |
| 1467480624 | David Bruce Newby | Pediatrics | 315 N San Saba, Suite 1135, San Antonio, TX 78207-3154 | 2006-06-28 |
| Find all providers in SAN ANTONIO | ||||
| City | SAN ANTONIO |
| Zip Code | 78229 |
Please comment or provide details below to improve the information on DR. EDWARD A PORRATA.
| 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.