DR. EDWIN GANDIA (NPI# 1457664922) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457664922 |
| Entity Type | Individual |
| Full Name | DR. EDWIN GANDIA |
| Credential | MT, MS, MD |
| Practice Address |
3851 Roger Brooke Dr Mche-qd San Antonio TX 78234-4501 |
| Mailing Address |
3333 Oakwell Ct Apt. 822 San Antonio TX 78218-3015 |
| Practice Telephone | 2109162460 |
| Mailing Telephone | 7873070357 |
| Enumeration Date | 2010-07-26 |
| Last Update Date | 2010-07-26 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
3851 ROGER BROOKE DR MCHE-QD |
| City | SAN ANTONIO |
| State | TX |
| Zip Code | 78234-4501 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952747131 | Andrew Joseph Gausepohl | Emergency Medicine | 3851 Roger Brooke Dr, San Antonio, TX 78234-4501 | 2013-05-15 |
| 1306280227 | Amelia Lea Wilson | Occupational Therapist | 3851 Roger Brooke Dr, Brooke Army Medical Center, Fort Sam Houston, San Antonio, TX 78234-4501 | 2013-04-22 |
| 1588903488 | Paula Balderston | Social Worker | 3851 Roger Brooke Dr, San Antonio, TX 78234-4501 | 2013-02-12 |
| 1912279506 | Mark Steven Barrows | Nurse Anesthetist, Certified Registered | 3851 Roger Brooke Dr, San Antonio, TX 78234 | 2012-01-30 |
| 1588958615 | Marisa Rachel Gossweiler | Radiology | 3851 Roger Brooke Dr, San Antonio, TX 78234-4501 | 2011-06-07 |
| 1447558416 | Carlos Armando Mota | General Practice | 3851 Roger Brooke Dr, Fort Sam Houston, San Antonio, TX 78234-4501 | 2011-03-01 |
| 1467773556 | Steven Gremel Schauer | Emergency Medicine | 3851 Roger Brooke Dr, Department of Emergency Medicine, San Antonio, TX 78234-4501 | 2010-06-13 |
| 1831416197 | Charles Calais | Internal Medicine | 3851 Roger Brooke Dr, San Antonio, TX 78234-4501 | 2010-04-27 |
| 1649597113 | Bradley A Reel | Anesthesiology | 3851 Roger Brooke Dr, San Antonio, TX 78234-4501 | 2010-04-23 |
| 1083948236 | Cynthia Czebotar Ward | Counselor | 3851 Roger Brooke Dr, Fort Sam Houston, San Antonio, TX 78234-4501 | 2009-09-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255942884 | Thomas Ballas | Student in an Organized Health Care Education/Training Program | 3551 Roger Brooke Drive Jbsa-fort Sam Houston, Department of Behavioral Medicine-mche-dbm, San Antonio, TX 78234 | 2020-08-17 |
| 1124657366 | Wendy Harris | Pharmacist | 3041 Garden Ave, Fort Sam Houston, TX 78234 | 2020-04-08 |
| 1215564729 | Travis Frantz | Student in an Organized Health Care Education/Training Program | 3551 Rodger Brooke Drive, Jbsa Fort Sam Houston, TX 78234 | 2020-03-25 |
| 1508492695 | Matthew Grossmann | Student in an Organized Health Care Education/Training Program | San Antonio Military Medical Center, Mche-zdm-m, Internal Medicine Residency, 3551 Roger Brooke Dr., Jbsa-fort Sam Houston, TX 78234 | 2020-03-20 |
| 1235793407 | Jessica Maria May Franklin | Student in an Organized Health Care Education/Training Program | 3551 Roger Brooke Drive Jbsa Fort Sam Houston, San Antonio, TX 78234 | 2019-04-23 |
| 1730663477 | Glen Snyder | Military Health Care Provider | 3488 Garden Ave Anderson Hall, Fort Sam Houston, San Antonio, TX 78234 | 2018-09-19 |
| 1265919336 | Ashley Elizabeth Malawey | Military Health Care Provider | 3222 Cpl Johnson Road, San Antonio, TX 78234 | 2018-07-23 |
| 1053805515 | Rene Espinosa | Social Worker | San Antonio Medical Center, 3551 Roger Brooke Dr, Jbsa, TX 78234 | 2018-06-19 |
| 1235622333 | Melanie Edith Rivera | Military Health Care Provider | 3600 Roger Brooke Drive, San Antonio, TX 78234 | 2018-06-13 |
| 1063909158 | Benjamin Walker Appelo | General Practice | San Antonio Mil Med Center 3551 Roger Brooke Dr, Mche-zdm-m, San Antonio, TX 78234 | 2018-04-16 |
| Find all providers in zip 78234 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255942884 | Thomas Ballas | Student in an Organized Health Care Education/Training Program | 3551 Roger Brooke Drive Jbsa-fort Sam Houston, Department of Behavioral Medicine-mche-dbm, San Antonio, TX 78234 | 2020-08-17 |
| 1851909147 | Shayan Ahmed | Student in an Organized Health Care Education/Training Program | 7703 Floyd Curl Dr # 7742, San Antonio, TX 78229-3901 | 2020-07-22 |
| 1306464524 | Nancy Mo | Student in an Organized Health Care Education/Training Program | Ut Health Science Center At San Antonio - Agdc, 8210 Floyd Curl Drive, Msc 8103, San Antonio, TX 78229-3923 | 2020-07-14 |
| 1073131587 | Keaton Shin | Student in an Organized Health Care Education/Training Program | 7123 Gallery Rdg, San Antonio, TX 78250-3305 | 2020-07-10 |
| 1619595154 | Sarah Connell | Student in an Organized Health Care Education/Training Program | Ut Health Science Center At San Antonio- Aegd, 8210 Floyd Curl Dr Msc 8103, San Antonio, TX 78229-3923 | 2020-07-10 |
| 1336767466 | Dalyssa Renee Gonzalez | Student in an Organized Health Care Education/Training Program | 24165 Ih 10 W Ste 125, San Antonio, TX 78257-1160 | 2020-07-06 |
| 1740807197 | Bradley James Miller | Student in an Organized Health Care Education/Training Program | 146 Agency Oaks, San Antonio, TX 78249-1538 | 2020-07-01 |
| 1396361085 | Tu Dao | Student in an Organized Health Care Education/Training Program | 8338 Hudson Holw, San Antonio, TX 78254-4588 | 2020-06-18 |
| 1386267730 | Juliana Gaviria Velasquez | Student in an Organized Health Care Education/Training Program | 5039 Hamilton Wolfe Rd Apt 1207, San Antonio, TX 78229-4457 | 2020-05-20 |
| 1477175065 | David Alonso Martinez | Student in an Organized Health Care Education/Training Program | 11659 Tribute Oaks, San Antonio, TX 78254-2103 | 2020-05-18 |
| Find all providers in SAN ANTONIO | ||||
| City | SAN ANTONIO |
| Zip Code | 78234 |
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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.