KELLY WISWELL (NPI# 1447880703) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447880703 |
| Entity Type | Individual |
| Full Name | KELLY WISWELL |
| Practice Address |
3333 Research Plz San Antonio TX 78235-5154 |
| Mailing Address |
5623 Hamilton Wolfe Apt 134 San Antonio TX 78240-4021 |
| Practice Telephone | 2102973000 |
| Enumeration Date | 2020-01-24 |
| Last Update Date | 2020-01-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
3333 RESEARCH PLZ |
| City | SAN ANTONIO |
| State | TX |
| Zip Code | 78235-5154 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518126309 | Eleazar Quintanilla Jr. | Internal Medicine | 3333 Research Plz, San Antonio, TX 78235-5154 | 2008-06-05 |
| 1053956623 | Gilbert Roman Cervantes | Nurse Practitioner | 3333 Research Plz, San Antonio, TX 78235-5154 | 2019-11-07 |
| 1346899879 | Belinda Benavidez | Nurse Practitioner | 3333 Research Plz, San Antonio, TX 78235-5154 | 2019-09-07 |
| 1215424577 | Teodora Isari | Nurse Practitioner | 3333 Research Plz, San Antonio, TX 78235 | 2018-04-21 |
| 1366945073 | Tiffanie Yvonne Cuellar | Physician Assistant | 3333 Research Plz, San Antonio, TX 78235-5154 | 2018-03-09 |
| 1508228503 | Rachel Littlefield | Emergency Medicine | 3333 Research Plz, San Antonio, TX 78235-5154 | 2016-03-28 |
| 1093186298 | Geneve Ann Mendoza-olguin | Nurse Practitioner | 3333 Research Plz, San Antonio, TX 78235-5154 | 2015-10-13 |
| 1912387473 | Patrick Malie | Emergency Medicine | 3333 Research Plz, San Antonio, TX 78235 | 2015-05-31 |
| 1467778118 | Rommel Curayag Del Rosario | Internal Medicine | 3333 Research Plz, San Antonio, TX 78235-5154 | 2010-04-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679136212 | Clayton Stone | Student in an Organized Health Care Education/Training Program | 7615 Kennedy Cir, Bldg. 1, San Antonio, TX 78235 | 2019-04-18 |
| 1942763362 | Muhammad Omair Ahsan Ata | Student in an Organized Health Care Education/Training Program | 7615 Kennedy Hill Drive, San Antonio, TX 78235 | 2019-04-11 |
| 1225599707 | Kendra Johanna Le | Student in an Organized Health Care Education/Training Program | 7615 Kennedy Circle, Bldg. 1, San Antonio, TX 78235 | 2019-03-27 |
| 1326028713 | Thomas K O'neill | Urology | 3327 Research Plaza, Sute 403, San Antonio, TX 78235 | 2006-01-20 |
| 1093259830 | U S Anesthesia Partners of Texas, Pa | Anesthesiology | 3124 Sidney Brooks St Ste 570b, San Antonio, TX 78235 | 2016-12-13 |
| 1740652106 | Michael Edward Cox | Nurse Practitioner | 3333 Research Plaza, San Antonio, TX 78235 | 2015-10-26 |
| 1912343096 | Douglas Russell | Urology | 3327 Research Plz Ste 403, San Antonio, TX 78235 | 2013-05-16 |
| 1669795506 | Vamsi K Surapaneni | Internal Medicine | 3333 Research Plaza, San Antonio, TX 78235 | 2010-03-07 |
| 1952734485 | Corrina Espinosa Herrera | Counselor | 111 Royce St, San Antonio, TX 78235-1009 | 2013-08-20 |
| 1992303283 | Ilse Amairani Perez | Registered Nurse | 105 Skaggs Pl, San Antonio, TX 78235-1011 | 2020-10-09 |
| Find all providers in zip 78235 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447866298 | Diana P Olivares | Physician Assistant | 8920 Quihi Way, San Antonio, TX 78254-1901 | 2020-09-17 |
| 1740893445 | Mcrm Assist, Pllc | Physician Assistant | 14546 Brook Hollow Blvd # 417, San Antonio, TX 78232-3810 | 2020-08-24 |
| 1508476086 | Matthew Gaines | Physician Assistant | 2626 Bluff Xing, San Antonio, TX 78244-1000 | 2020-08-09 |
| 1235757519 | Joseph Dominic Wechsler Jr. | Physician Assistant | 9114 Autumn Skies, San Antonio, TX 78254-1929 | 2020-07-13 |
| 1396368015 | Maureen Genov | Physician Assistant | 540 Madison Oak Dr Ste 450, San Antonio, TX 78258-3932 | 2020-05-28 |
| 1386266062 | Sun Assist, Pllc | Physician Assistant | 10650 Culebra Rd # 104-484, San Antonio, TX 78251-4949 | 2020-05-15 |
| 1134758964 | Mark Lee Nentwig | Physician Assistant | 1434 E Sonterra Blvd Ste 206, San Antonio, TX 78258-4973 | 2020-04-03 |
| 1962034694 | Christina L Russell | Physician Assistant | 525 Oak Centre Dr Ste 100, San Antonio, TX 78258-3916 | 2020-02-11 |
| 1265071203 | Caralyne Sandquist | Physician Assistant | 5510 Presidio Parkway, Building #2 Suite 2401, San Antonio, TX 78249 | 2019-12-21 |
| 1447808498 | Elizabeth Ann Blair | Physician Assistant | 24623 Birdie Rdg, San Antonio, TX 78260-7847 | 2019-09-03 |
| Find all providers in SAN ANTONIO | ||||
| City | SAN ANTONIO |
| Zip Code | 78235 |
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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.