JASON PHILLIP JIMENEZ (NPI# 1407982523) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407982523 |
| Entity Type | Individual |
| Full Name | JASON PHILLIP JIMENEZ |
| Credential | LSA |
| Practice Address |
540 Madison Oak Dr Ste 610 San Antonio TX 78258-3924 |
| Practice Telephone | 2103525346 |
| Practice Fax Number | 2103525367 |
| Mailing Telephone | 2103525346 |
| Mailing Fax Number | 2103525367 |
| Enumeration Date | 2007-02-25 |
| Last Update Date | 2018-02-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
SA00556 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | CAQH | 12678940 | 01 |
| TX | BCBSTX | 85NN35 | 01 |
| TX | LSA LICENSE | SA00556 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518208461 | Jason J Jimenez | Counselor | 284 Maple St, Lynn, MA 01904-3012 | 2013-03-01 |
| 1093139974 | Jason Pimentel Jimenez | Occupational Therapist | 264 Canal St, Suite 6e, New York, NY 10013-3529 | 2014-02-12 |
| Street Address |
540 MADISON OAK DR STE 610 |
| City | SAN ANTONIO |
| State | TX |
| Zip Code | 78258-3924 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629076096 | Raul Ramos | Colon & Rectal Surgery | 540 Madison Oak Dr, Suite 370, San Antonio, TX 78258-3943 | 2005-07-11 |
| 1730611120 | Leslie Gordon | Counselor | 540 Madison Oak Dr, Suite 340, San Antonio, TX 78258-3943 | 2017-04-03 |
| 1558818047 | Ramiro Barrientos Jr. | Specialist/Technologist, Other | 540 Madison Oak Dr, Ste 610, San Antonio, TX 78258-3924 | 2016-09-01 |
| 1811365802 | South Texas Urogynecology Pllc | Obstetrics & Gynecology | 540 Madison Oak Dr, Suite 570, San Antonio, TX 78258-3943 | 2015-09-08 |
| 1881060127 | Gmit-texas LLC | Chiropractor | 540 Madison Oak Dr, Suite 140, San Antonio, TX 78258-3943 | 2015-08-20 |
| 1548654387 | William A Atlas Md Pa | Internal Medicine | 540 Madison Oak Dr, Suite 550, San Antonio, TX 78258-3943 | 2015-03-18 |
| 1508259961 | Mohammad Yosuf | Specialist/Technologist, Other | 540 Madison Oak Dr, Ste 610, San Antonio, TX 78258-3924 | 2015-03-10 |
| 1285026385 | Barrett Quality Medical Interests | Podiatrist | 540 Madison Oak Dr, Suite 130, San Antonio, TX 78258-3943 | 2015-02-26 |
| 1497150312 | Dr. Moffat D. Adams, Jr. Dpm Pllc | Podiatrist | 540 Madison Oak Dr, Suite 600, San Antonio, TX 78258-3943 | 2014-11-04 |
| 1013316710 | Dawn Denise Marshall | Specialist/Technologist, Other | 540 Madison Oak Dr, Ste 610, San Antonio, TX 78258-3924 | 2014-08-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356980163 | Jeffrey M. Martinez, M.d., P.a. | Surgery | 525 Centre Oak Drive, Suite 140, San Antonio, TX 78258 | 2019-12-26 |
| 1588226211 | New Life Brace and Limb, LLC | Prosthetist | 300 E. Sonterra Blvd., Suite 220, San Antonio, TX 78258 | 2019-07-02 |
| 1720649080 | Miguel Ibarra | Pharmacist | 18866 Stone Oak Pkwy., St.101, San Antonio, TX 78258 | 2019-06-26 |
| 1528538113 | Kevin Scott Farnsworth | Dentist | 1130 E. Sonterra Blvd Suite 100, San Antonio, TX 78258 | 2018-11-27 |
| 1891262176 | Dentists of Stone Oak, PC | Dentist | 23714 Hardy Oak Blvd, Suite 110, San Antonio, TX 78258 | 2018-10-25 |
| 1003399437 | Jesus Alcala | Physical Therapist | 20821 Us Hwy 281 N, Ste 110, San Antonio, TX 78258 | 2018-09-11 |
| 1184106544 | Marissa Kaye Bruton | Occupational Therapist | 505 Madison Oak, San Antonio, TX 78258 | 2018-09-02 |
| 1508346933 | Desiree Carroll | Occupational Therapy Assistant | 18803 Hardy Oak Drive, San Antonio, TX 78258 | 2018-08-15 |
| 1700376456 | Conner Jay Mcnabb | Optometrist | 810 Knights Cross Dr Ste 101, San Antonio, TX 78258 | 2018-05-17 |
| 1982191516 | Freehand Solutions LLC | Chiropractor | Nec Stone Oak Parkway & Loop 1604, San Antonio, TX 78258 | 2018-04-19 |
| Find all providers in zip 78258 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588284194 | Hill Country Surgical Management, Inc | Physician Assistant | 10454 Tippecanoe, San Antonio, TX 78245-3128 | 2020-04-23 |
| 1700435831 | Christina A Vogel-rosbrook | Physician Assistant | 4330 Medical Drive, Suite 120, San Antonio, TX 78229-3353 | 2019-09-11 |
| 1538631676 | Olga Skirda | Physician Assistant | 610 North Main Avenue, San Antonio, TX 78205 | 2018-12-31 |
| 1265921126 | Ashley L Garcia | Physician Assistant | 414 W Sunset Rd Ste 205, San Antonio, TX 78209 | 2018-05-07 |
| 1265989958 | Liz Ramirez-valencia | Physician Assistant | 12118 Ridge Court St, San Antonio, TX 78247-3402 | 2016-09-09 |
| 1831645399 | Carlos E Martin Colindres | Physician Assistant | 18211 Bulverde Rd Apt 13207, San Antonio, TX 78259-3720 | 2016-08-25 |
| 1093188559 | Padeniran Corp, Pllc | Physician Assistant | 2313 Lockhill Selma Rd # 158, San Antonio, TX 78230-3007 | 2015-11-05 |
| 1679944631 | Elite Surgical Associates of Sa | Physician Assistant | 20079 Stone Oak Pkwy Ste 1105-482, San Antonio, TX 78258-6942 | 2015-10-15 |
| 1679958680 | Lacey Lillian Aguero | Physician Assistant | 6407 Cougar Vlg, San Antonio, TX 78242 | 2015-07-21 |
| 1447635453 | Neuro Precision Assisting, Pllc | Physician Assistant | 5886 De Zavala Rd, Ste 102 #495, San Antonio, TX 78249-2269 | 2015-07-21 |
| Find all providers in SAN ANTONIO | ||||
| City | SAN ANTONIO |
| Zip Code | 78258 |
Please comment or provide details below to improve the information on JASON PHILLIP JIMENEZ.
| 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.