DR. JEANNIE ALLYSON BAQUERO


Address: 1303 Mccullough Ave, Suite 374, San Antonio, TX 78212-5615
Phone: 2102235483

DR. JEANNIE ALLYSON BAQUERO (NPI# 1255301149) 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) 1255301149
Entity Type Individual
Full Name DR. JEANNIE ALLYSON BAQUERO
Credential M.D.
Practice Address 1303 Mccullough Ave
Suite 374
San Antonio
TX 78212-5615
Mailing Address 2219 Cardigan Hl
San Antonio
TX 78212-5615
Practice Telephone 2102235483
Practice Fax Number 2102923828
Mailing Telephone 2105457056
Enumeration Date 2006-01-24
Last Update Date 2011-12-23
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RE0101X Internal Medicine
Specialization: Endocrinology, Diabetes & Metabolism
K5449 TX Allopathic & Osteopathic Physicians

Office Location

Street Address 1303 MCCULLOUGH AVE
SUITE 374
City SAN ANTONIO
State TX
Zip Code 78212-5615

Providers in the same location

NPI Name Taxonomy Address Enumeration
1386645372 Victor Ivan Lyday Orthopaedic Surgery 1303 Mccullough Ave, Suite 361, San Antonio, TX 78212-5609 2005-08-02
1588208920 Lorena Angelica Ramirez Specialist/Technologist 1303 Mccullough Ave, San Antonio, TX 78212-5609 2019-10-29
1396388351 Alexander Saldana Specialist/Technologist 1303 Mccullough Ave, San Antonio, TX 78212-5609 2019-10-23
1821524158 Jesse Lowrance Specialist/Technologist 1303 Mccullough Ave, San Antonio, TX 78212-5609 2017-05-05
1619410958 Sam Mccrary Specialist/Technologist 1303 Mccullough Ave, San Antonio, TX 78212-5609 2016-11-18
1306242409 Rafael Parra and Associates Neurological Surgery 1303 Mccullough Ave, Ste 440, San Antonio, TX 78212-5609 2014-11-17
1699193185 Southern Texas Heart and Vascular Clinic, Pllc Internal Medicine 1303 Mccullough Ave, San Antonio, TX 78212-5609 2014-04-01
1780925768 San Antonio Lung Center, Pllc Internal Medicine 1303 Mccullough Ave, Suite 428, San Antonio, TX 78212-5609 2013-03-15
1619217122 Gmg Health Systems Associates, Pa Durable Medical Equipment & Medical Supplies 1303 Mccullough Ave, Suite 170, San Antonio, TX 78212-5609 2013-02-20
1144572132 Rebekah T Adai Nurse Practitioner 1303 Mccullough Ave, Suite Gl70, San Antonio, TX 78212-5609 2012-10-15
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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 207RE0101X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Endocrinology, Diabetes & Metabolism

Taxonomy Definition

An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.
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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1003241837 Insulin Rounds P A Internal Medicine 12951 Huebner Rd, #780355, San Antonio, TX 78278-7801 2013-09-11
1053549246 Jeffrey Adam Colburn Internal Medicine Mche-mde 3551 Roger Brooke Dr, Brooke Army Medical Center, San Antonio, TX 78234-6200 2009-06-25
1023282746 Dcoa Physician Associates Pa Internal Medicine 7863 Callaghan Road, Ste 206, San Antonio, TX 78229-2452 2008-04-14
1437328481 Dcoa Physician Associates Pa Internal Medicine 3154 Se Military Dr, Suite 103, San Antonio, TX 78223-3974 2008-02-25
1043494826 Jennifer M. Argumedo Internal Medicine 7355 Barlite Blvd Ste 401, San Antonio, TX 78224-1341 2007-12-28
1902086952 Rafeeq A. Ali Internal Medicine 701 S Zarzamora St # Ms 3-5, San Antonio, TX 78207-5209 2007-11-07
1538370572 Dcoa Physician Associates Pa Internal Medicine 20330 Huebner Road, Ste 104, San Antonio, TX 78258-3509 2007-05-24
1417968306 Gloria L Ocampo Internal Medicine 4458 Medical Dr Ste 405, San Antonio, TX 78229 2006-08-10
1487636205 Firas Akhrass Internal Medicine 5107 Medical Drive, San Antonio, TX 78229 2005-11-17
1396746442 Jaime Oscar Cruz Internal Medicine 155 E Sonterra Blvd Ste 105, San Antonio, TX 78258-3988 2005-08-10
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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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