DR. JAMES S DISTEFANO (NPI# 1457324782) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1457324782 |
Entity Type | Individual |
Full Name | DR. JAMES S DISTEFANO |
Credential | DO |
Practice Address |
3201 University Dr E Ste 320 Bryan TX 77802-3478 |
Practice Telephone | 9797045029 |
Mailing Telephone | 9797045029 |
Enumeration Date | 2006-02-08 |
Last Update Date | 2018-10-10 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207PS0010X |
Emergency Medicine Specialization: Sports Medicine |
M7149 | TX | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
BLUE CROSS | 8AH949 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1942513882 | James Guido Distefano Jr. | Orthopaedic Surgery | 947 Marina Village Pkwy, Alameda, CA 94501-1048 | 2010-07-21 |
Street Address |
3201 UNIVERSITY DR E STE 320 |
City | BRYAN |
State | TX |
Zip Code | 77802-3478 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1710450077 | College Station Physical Therapy and Performance, Pllc | Clinic/Center | 3201 University Dr E Ste 320, Bryan, TX 77802-3478 | 2019-01-09 |
1326495508 | Brazos Valley Physicians Alliance | Surgery | 3201 University Dr E Ste 320, Bryan, TX 77802-3478 | 2016-05-18 |
1104263680 | Troy Edward Barnes | Chiropractor | 3201 University Dr E Ste 320, Bryan, TX 77802-3478 | 2013-05-24 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1013476951 | Andrea Pittman | Student in an Organized Health Care Education/Training Program | Primary Care Medicine Department, College of Medicine, 2900 East 29th Street, Bryan, TX 77802 | 2019-03-19 |
1942789110 | Alicia Diane Ates | Dentist | 3001 Wildflower Drive, Suite #511, Bryan, TX 77802 | 2018-08-09 |
1588151682 | Metx LLC | Audiologist-Hearing Aid Fitter | 3030 E 29th St Ste 102, Bryan, TX 77802 | 2018-04-16 |
1073047437 | Abbi Messer | Family Medicine | 2900 29th Street, Suite 100, Bryan, TX 77802 | 2017-04-12 |
1265885180 | Scott Andrew Thayer | Dentist | 3811 Stoneparc Dr, Bryan, TX 77802 | 2016-07-15 |
1255792123 | Phoebe Mathew | Pharmacist | 3312 East 29th Street, Bryan, TX 77802 | 2016-03-18 |
1801253810 | Pearl Coleshill | Specialist/Technologist | 3121 University Drive E., Suite 100, Bryan, TX 77802 | 2016-01-21 |
1265847750 | Wesley Danielle Daniels | Dietitian, Registered | 3900-c Carter Creek Pkway, Bryan, TX 77802 | 2014-06-24 |
1235549098 | Regina V. Robertson | Home Health | 1121 Briarcrest Dr., Suite 102, Bryan, TX 77802 | 2014-05-02 |
1982024238 | Lampstand Nursing and Rehabilitation, Lp | Skilled Nursing Facility | 2001 E 29th Street, Bryan, TX 77802 | 2014-04-24 |
Find all providers in zip 77802 |
Taxonomy Code | 207PS0010X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Emergency Medicine |
Specialization | Sports Medicine |
An emergency physician with special knowledge in sports medicine is responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention and management of injury and illness. A sports medicine physician has knowledge and experience in the promotion of wellness and the role of exercise in promoting a healthy lifestyle. Knowledge of exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation and epidemiology is essential to the practice of sports medicine. |
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 Emergency Medicine, 2007. http://www.abem.org/public/. American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1609493543 | Brazos Valley Physicians Alliance | Emergency Medicine | 3121 University Dr E Ste 100, Bryan, TX 77802-3499 | 2020-06-26 |
1861575466 | Central Texas Sports Medicine & Orthopaedics, P.a. | Emergency Medicine | 3121 University Dr E Ste 100, Bryan, TX 77802-3499 | 2006-10-24 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1831799238 | Jerry George Greeson | Emergency Medicine | 2239 Walker Ave Bldg 5570, Jbsa Lackland, TX 78236-5632 | 2020-10-27 |
1235755315 | Morgan Tharp | Emergency Medicine | 4401 Park Springs Blvd, Arlington, TX 76017-2016 | 2020-06-24 |
1639146079 | Chad Bergman | Emergency Medicine | 1 Spurs Ln, San Antonio, TX 78240-1634 | 2006-03-03 |
1124626825 | Chay Shalise Nersesian | Emergency Medicine | 301 Rivercrest Blvd, Allen, TX 75002-2100 | 2020-10-14 |
1932697752 | Tyler Glynn Nugent | Emergency Medicine | 16811 Southwest Fwy Ste 200, Sugar Land, TX 77479-4728 | 2018-04-26 |
1407368111 | Stephan Ryan Fisher | Emergency Medicine | 601 University Dr, San Marcos, TX 78666-4684 | 2017-11-03 |
1205346236 | Pablo Daniel Riera | Emergency Medicine | 4103 W Slaughter Ln, Austin, TX 78749-6953 | 2017-10-04 |
1427594597 | Mobility Sports Therapy | Emergency Medicine | 25420 Kuykendahl Rd, Suite D500, The Woodlands, TX 77375-3405 | 2017-01-13 |
1720472418 | Emily Young | Emergency Medicine | 800 N Blue Mound Rd, Saginaw, TX 76131-1052 | 2015-03-20 |
1164717963 | Matthew C Maruska | Emergency Medicine | 561 N Graham St, Stephenville, TX 76401-3548 | 2011-06-09 |
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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.