SAN ANTONIO MILITARY MEDICAL CENTER (NPI# 1225370711) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225370711 |
| Entity Type | Organization |
| Organization Name | SAN ANTONIO MILITARY MEDICAL CENTER |
| Other Organization Name | BEHAVIORAL MEDICINE-NEUROPSYCHOLOGY |
| Practice Address |
3851 Roger Brooke Dr Mche-qd (creds) Fort Sam Houston TX 78234-4501 |
| Practice Telephone | 2109163710 |
| Practice Fax Number | 2109165102 |
| Mailing Telephone | 2109163710 |
| Mailing Fax Number | 2109165102 |
| Enumeration Date | 2013-03-22 |
| Last Update Date | 2013-03-22 |
| Authorized Official Name | ETHEL MORGAN (CREDENTIALS COORDINATOR) |
| Authorized Official Telephone | 2109163710 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 286500000X | Military Hospital | 35165 | TX | Hospitals |
| Other Name | Type Code |
|---|---|
| Behavioral Medicine-Neuropsychology | Other Name - Individual/Organization |
| Street Address |
3851 ROGER BROOKE DR MCHE-QD (CREDS), |
| City | FORT SAM HOUSTON |
| State | TX |
| Zip Code | 78234-4501 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912903931 | Doreen M. Lounsbery | Internal Medicine | 3851 Roger Brooke Dr, Fort Sam Houston, TX 78234-4501 | 2005-06-23 |
| 1821561853 | Jessica Dolan | Dietitian, Registered | 3851 Roger Brooke Dr, Fort Sam Houston, TX 78234-4501 | 2019-01-02 |
| 1851842306 | Michael Stablein | Student in an Organized Health Care Education/Training Program | 3851 Roger Brooke Dr, Mche-qd, Fort Sam Houston, TX 78234-4501 | 2016-10-19 |
| 1588114078 | Daniel Hamilton | Optometrist | 3851 Roger Brooke Dr, Fort Sam Houston, TX 78234-4501 | 2016-10-07 |
| 1932657756 | Erica Russell | Physical Therapist | 3851 Roger Brooke Dr, Fort Sam Houston, TX 78234-4501 | 2016-09-21 |
| 1437502887 | Glenn Wayne Brietzke Jr. | Dietitian, Registered | 3851 Roger Brooke Dr, Mche-qd, Fort Sam Houston, TX 78234-4501 | 2016-07-21 |
| 1023483013 | Christine Setty | Student in an Organized Health Care Education/Training Program | 3851 Roger Brooke Dr, Mcheqd, Fort Sam Houston, TX 78234-4501 | 2015-12-02 |
| 1487024642 | Deserae Gonzalez | Social Worker | 3851 Roger Brooke Dr, Bamc Mche-qd (creds), Fort Sam Houston, TX 78234-4501 | 2015-09-30 |
| 1871969014 | Antoine Williams II | Registered Nurse | 3851 Roger Brooke Dr, San Antonio Military Medcial Center, Fort Sam Houston, TX 78234-4501 | 2015-08-11 |
| 1033503990 | Eldon Snyder | General Practice | 3851 Roger Brooke Dr, Fort Sam Houston, TX 78234 | 2015-03-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255942884 | Thomas Ballas | Student in an Organized Health Care Education/Training Program | 3551 Roger Brooke Drive Jbsa-fort Sam Houston, Department of Behavioral Medicine-mche-dbm, San Antonio, TX 78234 | 2020-08-17 |
| 1124657366 | Wendy Harris | Pharmacist | 3041 Garden Ave, Fort Sam Houston, TX 78234 | 2020-04-08 |
| 1215564729 | Travis Frantz | Student in an Organized Health Care Education/Training Program | 3551 Rodger Brooke Drive, Jbsa Fort Sam Houston, TX 78234 | 2020-03-25 |
| 1508492695 | Matthew Grossmann | Student in an Organized Health Care Education/Training Program | San Antonio Military Medical Center, Mche-zdm-m, Internal Medicine Residency, 3551 Roger Brooke Dr., Jbsa-fort Sam Houston, TX 78234 | 2020-03-20 |
| 1235793407 | Jessica Maria May Franklin | Student in an Organized Health Care Education/Training Program | 3551 Roger Brooke Drive Jbsa Fort Sam Houston, San Antonio, TX 78234 | 2019-04-23 |
| 1730663477 | Glen Snyder | Military Health Care Provider | 3488 Garden Ave Anderson Hall, Fort Sam Houston, San Antonio, TX 78234 | 2018-09-19 |
| 1265919336 | Ashley Elizabeth Malawey | Military Health Care Provider | 3222 Cpl Johnson Road, San Antonio, TX 78234 | 2018-07-23 |
| 1053805515 | Rene Espinosa | Social Worker | San Antonio Medical Center, 3551 Roger Brooke Dr, Jbsa, TX 78234 | 2018-06-19 |
| 1235622333 | Melanie Edith Rivera | Military Health Care Provider | 3600 Roger Brooke Drive, San Antonio, TX 78234 | 2018-06-13 |
| 1063909158 | Benjamin Walker Appelo | General Practice | San Antonio Mil Med Center 3551 Roger Brooke Dr, Mche-zdm-m, San Antonio, TX 78234 | 2018-04-16 |
| Find all providers in zip 78234 | ||||
| Taxonomy Code | 286500000X |
| Grouping | Hospitals |
| Classification | Military Hospital |
| A health care facility operated by the Department of Defense. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194031583 | Bamc | Military Hospital | 3851 Roger Brooke Dr., Bamc-mcheqd (creds), Fort Sam Houston, TX 78218-6200 | 2010-08-24 |
| 1215057641 | Dfasin-adimb U.S. Army | Military Hospital | 3851 Roger Brooke Dr, Fort Sam Houston, TX 78234-4501 | 2007-03-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851773535 | Wbamc Dept of Medicine/im Training Program | Military Hospital | 5005 N. Piedras Street, Attn: Dom/im Program Wbamc, El Paso, TX 79920-5001 | 2015-06-18 |
| 1831578087 | Alma Denise Harman | Military Hospital | 13275 Emerald Creek Dr, Horizon City, TX 79928-6556 | 2015-05-20 |
| 1104216332 | Va Medical Center | Military Hospital | 10707 W Interstate 10 Apt 436, San Antonio, TX 78230-1674 | 2015-01-26 |
| 1366858938 | Baxter Healthcare Corporation | Military Hospital | 1618 Shady Holw, New Braunfels, TX 78132-2354 | 2014-07-03 |
| 1215353784 | Elizabeth Arnold | Military Hospital | 4539 Bissonnet St, Apt. 1, Bellaire, TX 77401-3127 | 2014-03-08 |
| 1770859878 | Oleg Balter | Military Hospital | 6231 Colony Crk, San Antonio, TX 78240-5320 | 2012-03-22 |
| 1255617676 | Department of Veterans Affairs | Military Hospital | 3022 Heritage Creek Oaks, Houston, TX 77008-6156 | 2011-10-31 |
| 1528357878 | Baylor College of Medicine | Military Hospital | 1709 Dryden Rd Ste 1100, Houston, TX 77030-2414 | 2011-04-06 |
| 1578898029 | Baylor College of Medicine | Military Hospital | 3103 Fairhope St, Houston, TX 77025-3228 | 2009-10-15 |
| 1548498058 | Yaoyao Zhu | Military Hospital | 1320 Austin Hwy, San Antonio, TX 78209 | 2009-06-24 |
| Find all providers with the same taxonomy | ||||
| City | FORT SAM HOUSTON |
| Zip Code | 78234 |
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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.