MARIA DELORES PONSE WHEELIS


Address: 1715 Mccullough Ave, San Antonio, TX 78212-4046
Phone: 2102255323

MARIA DELORES PONSE WHEELIS (NPI# 1174694103) 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) 1174694103
Entity Type Individual
Full Name MARIA DELORES PONSE WHEELIS
Credential D.O.
Practice Address 1715 Mccullough Ave
San Antonio
TX 78212-4046
Practice Telephone 2102255323
Practice Fax Number 2102257505
Mailing Telephone 2102255323
Mailing Fax Number 2102257505
Enumeration Date 2006-11-13
Last Update Date 2016-10-18
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207Q00000X Family Medicine K7595 TX Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
TX WELLMED MEDICARE TXB130563 01
TX 047970103 05
TX WELLMED MEDICAID 047970104 01

Office Location

Street Address 1715 MCCULLOUGH AVE
City SAN ANTONIO
State TX
Zip Code 78212-4046

Providers in the same location

NPI Name Taxonomy Address Enumeration
1104822683 Carmina M Fusco Podiatrist 1715 Mccullough Ave, 2nd Floor, San Antonio, TX 78212-4046 2005-06-21
1598135824 Nelly Elena Tellez Nurse Practitioner 1715 Mccullough Ave, San Antonio, TX 78212-4046 2015-09-29
1457789935 Carvajals Inc Pharmacy 1715 Mccullough Ave, San Antonio, TX 78212-4046 2013-10-21
1033556857 Patricia Saravia Family Medicine 1715 Mccullough Ave, San Antonio, TX 78212-4046 2013-06-03
1801160692 Paree Lavonne Gallo Physician Assistant 1715 Mccullough Ave, San Antonio, TX 78212-4046 2012-02-27
1295980274 Lisa Marie Leffler Internal Medicine 1715 Mccullough Ave, San Antonio, TX 78212-4046 2008-11-18
1639348048 Aaron Alan Anguiano Family Medicine 1715 Mccullough Ave, San Antonio, TX 78212-4046 2008-02-29
1821044751 Rosemary Romo Rivas Registered Nurse 1715 Mccullough Ave, San Antonio, TX 78212-4046 2006-05-25
1144281478 Jaime Moreno Internal Medicine 1715 Mccullough Ave, San Antonio, TX 78212 2006-03-28
1124025838 Ramon Luis Figueroa Family Medicine 1715 Mccullough Ave, San Antonio, TX 78212-4046 2005-07-07
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1902451701 Ninfa Hernandez Guzman Assisted Living Facility 325 E Locust St., San Antonio, TX 78212 2019-08-08
1366924730 David Edward Dupuy Occupational Therapist 307 West Cypress, San Antonio, TX 78212 2018-09-03
1184100836 Magenta Health, Inc. Clinic/Center 1222 North Main, Suite 115, San Antonio, TX 78212 2018-07-16
1497275762 Dms Pharmacy, LLC Pharmacy 305 East Euclid, Suite 104, San Antonio, TX 78212 2017-06-27
1245693290 Rebecca Lynn Sherman Physical Therapist 40 Ne Interstate 410 Loop, San Antonio, TX 78212 2016-03-29
1669886032 Felise De Novo, PC Counselor 2400 Mccullough Ave., #12851, San Antonio, TX 78212 2014-06-13
1699102699 Prem S. Kalidindi Pharmacist 2608 N. Main, Ste 1, San Antonio, TX 78212 2013-10-04
1073860052 Sarah Nicole Percy Tovar Dentist 4118 Mccullough Ave., Suite 6, San Antonio, TX 78212 2012-08-09
1205181674 Michael Jose Cavazos Internal Medicine 1100 Mccullough Ave Ste 300, San Antonio, TX 78212 2012-07-20
1730458381 Neuriom, Pllc Electrodiagnostic Medicine 4007 Mccullough Ave, #243, San Antonio, TX 78212 2011-12-27
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Taxonomy Information

Taxonomy Code 207Q00000X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine

Taxonomy Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition]
- Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences.
- Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1881295327 Courtney L Buchmeier Family Medicine 16620 San Pedro Ave, San Antonio, TX 78232-2327 2020-11-02
1255938866 Bart Knight Family Medicine 106 Herweck Dr, San Antonio, TX 78213-3329 2020-10-06
1114530565 Jacob C Reedy Family Medicine 525 Richmond Ave, San Antonio, TX 78215-2008 2020-08-26
1750992277 Premier Tests LLC Family Medicine 410 E Wildwood, San Antonio, TX 78212-1758 2020-08-10
1770104457 Bryanna Bermea Cantu Family Medicine 2318 San Pedro Ave Ste 12, San Antonio, TX 78212-1901 2020-05-04
1447886544 Lets Look At Your Labs LLC Family Medicine 1603 Babcock Rd Ste 238-5, San Antonio, TX 78229-4708 2020-03-20
1609414937 Lonestar Visiting Physicians LLC Family Medicine 406 Halliday Ave, San Antonio, TX 78210-4057 2019-12-17
1679126817 Sarah Heather Martinez Family Medicine 15106 Oak Loft St, San Antonio, TX 78232-4617 2019-07-17
1659930634 Villa Family Clinic, PC Family Medicine 2000 Se Loop 410 Ste 127a, San Antonio, TX 78220-4933 2019-06-12
1508327859 South Texas Family Medicine and Urgent Care Center Family Medicine 3526 Galveston Trl, San Antonio, TX 78253-6219 2019-03-28
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Competitor

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City SAN ANTONIO
Zip Code 78212

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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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