SAN MARCOS DIAGNOSTICS PA (NPI# 1235327073) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235327073 |
| Entity Type | Organization |
| Organization Name | SAN MARCOS DIAGNOSTICS PA |
| Practice Address |
1305 Wonder World Dr Ste 206 San Marcos TX 78666-7540 |
| Practice Telephone | 5123961525 |
| Enumeration Date | 2007-10-05 |
| Last Update Date | 2015-11-17 |
| Authorized Official Name | MR. GRAYSON KEITH SMITH (PRESIDENT) |
| Authorized Official Telephone | 5123961525 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 170927101 | 05 | |
| TX | BCBS | 0032MD | 01 |
| Street Address |
1305 WONDER WORLD DR STE 206 |
| City | SAN MARCOS |
| State | TX |
| Zip Code | 78666-7540 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427656198 | Jodie Lynn Stauffer | Social Worker | 2497 Fm 1979, San Marcos, TX 78666 | 2020-10-14 |
| 1619590965 | Ann Mary Carney | Occupational Therapist | 302 Riverside Dr, San Marcos, TX 78666 | 2020-05-21 |
| 1811510381 | Cvs Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 101 Concho St, San Marcos, TX 78666 | 2020-05-19 |
| 1174157101 | Chase Joseph Gibson | Specialist/Technologist | 616 N Lbj Dr, Beretta Hall 401, San Marcos, TX 78666 | 2020-02-28 |
| 1548800782 | Emily Granger | Specialist/Technologist | 106 Charles Austin Dr, San Marcos, TX 78666 | 2020-01-15 |
| 1689138562 | Joseph Richard Lednicky | Specialist/Technologist | 700 Aquarena Springs Drive, San Marcos, TX 78666 | 2019-01-25 |
| 1376007336 | Viktoria Guerrero | Specialist/Technologist | Jowers Access Rd, San Marcos, TX 78666 | 2019-01-24 |
| 1336611771 | Joan Marie Wood | Occupational Therapist | Cole Pediatric Therapy, 101 Uhland Rd, San Marcos, TX 78666 | 2018-12-26 |
| 1851861496 | Kingfisher Health LLC | Home Health | 125 Mccarty Lane, San Marcos, TX 78666 | 2018-11-27 |
| 1669954723 | Christopher Macha | Student in an Organized Health Care Education/Training Program | 1 Jowers Access Road, San Marcos, TX 78666 | 2018-09-05 |
| Find all providers in zip 78666 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558984294 | Jad Said | Internal Medicine | 504 E Barham Dr Apt 209, San Marcos, CA 92078-7422 | 2020-05-27 |
| 1568749224 | Alap R Jani | Internal Medicine | 1251 Sadler Dr Ste 2100, San Marcos, TX 78666-8629 | 2011-11-09 |
| 1649450065 | Jairo L Bermudez Md, Pa | Internal Medicine | 1601 Redwood Rd Ste C, San Marcos, TX 78666-1423 | 2007-11-14 |
| 1003015454 | Lance Monteau | Internal Medicine | 1290 Wonder World Dr Ste 1100, San Marcos, TX 78666-7969 | 2007-07-16 |
| 1124163084 | Carlos Enrique Zamora | Internal Medicine | 2800 Airport, Hwy 21, San Marcos, TX 78666 | 2007-02-20 |
| 1154403640 | Minh Quoc Nguyen | Internal Medicine | 885 Orion Way, San Marcos, CA 92078-0914 | 2006-10-20 |
| 1699887646 | David B Winn | Internal Medicine | 1176 Adena Way, San Marcos, CA 92069-8123 | 2006-08-31 |
| 1528084340 | Joseph Czvik | Internal Medicine | 1635 Lake San Marcos Dr, Ste 202, San Marcos, CA 92078-4661 | 2006-07-14 |
| 1295766038 | Cody A Nichols | Internal Medicine | 1305 Wonder World Dr Ste 306, San Marcos, TX 78666-7542 | 2006-07-06 |
| 1457387995 | Saritha G Pothuluri | Internal Medicine | 200 Springtown Way, Ste 451, San Marcos, TX 78666-7142 | 2006-06-25 |
| Find all providers in SAN MARCOS | ||||
| City | SAN MARCOS |
| Zip Code | 78666 |
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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.