FRED DAVID PRENTICE (NPI# 1508384975) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508384975 |
| Entity Type | Individual |
| Full Name | FRED DAVID PRENTICE |
| Credential | M.D. |
| Practice Address |
7 Venice Ct San Antonio TX 78257-1310 |
| Practice Telephone | (210) 698-9773 |
| Mailing Telephone | 2106989773 |
| Enumeration Date | 2017-09-06 |
| Last Update Date | 2017-09-06 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | E4607 | TX | Allopathic & Osteopathic Physicians |
| Street Address |
7 VENICE CT |
| City | SAN ANTONIO |
| State | TX |
| Zip Code | 78257-1310 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235737941 | Barton Skinner | Nurse Practitioner | 17806 W I-10, Suite 300, San Antonio, TX 78257 | 2020-10-14 |
| 1639794464 | Gabriel Ezequiel Cantu | Behavior Technician | 21727 I-10, Unit 108, San Antonio, TX 78257 | 2020-06-08 |
| 1588135719 | Alejandro Daniel Perez | Military Health Care Provider | Wilderness Trl & Camp Bullis, San Antonio, TX 78257 | 2018-12-16 |
| 1386139434 | Callie D Harris | Nurse Practitioner | 22135 I-10, San Antonio, TX 78257 | 2018-06-29 |
| 1093231326 | Melissa Lauren Nguyen | Military Health Care Provider | 5425 Mc Williams Dr., Medical Aid Station Bldg 5425 Rm 104, San Antonio, TX 78257 | 2017-08-18 |
| 1902337165 | Hania Alkudmani | Dentist | 24051 W Interstate 10, San Antonio, TX 78257 | 2017-03-21 |
| 1043767569 | My Er Stcpr, Lp | Clinic/Center | 5431 North Loop 1604 West, San Antonio, TX 78257 | 2016-09-01 |
| 1649726381 | Aaron Stares | Physical Therapist | 23127 Interstate Highway 10, Suite 203, San Antonio, TX 78257 | 2016-09-01 |
| 1457700023 | Shelly Marquard | Dietitian, Registered | 22211 I-10 West, #1206, San Antonio, TX 78257 | 2016-06-06 |
| 1245695337 | Ao Iom, Pllc | Electrodiagnostic Medicine | 17503 Lacantera Parkway Suite 104 # 422, San Antonio, TX 78257 | 2015-12-16 |
| Find all providers in zip 78257 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified 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 |
|---|---|---|---|---|
| 1568062297 | Davies Recovery,llc | Emergency Medicine | 9503 Middlex Dr, San Antonio, TX 78217-5915 | 2020-10-30 |
| 1013421544 | Usacs Emergency Medicine Services of Texas, Pllc | Emergency Medicine | 7719 Interstate 35 S, San Antonio, TX 78224-1469 | 2017-11-20 |
| 1720435571 | Matthew Michael Hessel | Emergency Medicine | 3551 Roger Brooke Drive - Emergency Medicine Department, Jbsa-fort Sam Houston, San Antonio, TX 78234-4504 | 2016-05-23 |
| 1164817946 | Roland Manuel Dimaya | Emergency Medicine | 11503 Nw Military Hwy Ste 202, San Antonio, TX 78231-1895 | 2015-03-30 |
| 1437402724 | James Richard Leininger | Emergency Medicine | 18615 Tuscany Stone, Suite 200, San Antonio, TX 78258-3502 | 2012-10-24 |
| 1982966099 | Matthew Weldon Cross | Emergency Medicine | 410 E Wildwood Dr, San Antonio, TX 78212-1758 | 2012-06-13 |
| 1518238773 | Susan Lee Howle | Emergency Medicine | 7419 Wild Eagle St, San Antonio, TX 78255-1148 | 2012-01-19 |
| 1730472135 | Christina B Lumbreras | Emergency Medicine | 6263 Valley Bay Dr, San Antonio, TX 78250-5785 | 2011-05-18 |
| 1700176773 | Bryan Mathew Thomas | Emergency Medicine | 2022 Riva Ridge St, San Antonio, TX 78248-1143 | 2011-04-12 |
| 1821307232 | Charles Bain | Emergency Medicine | 17203 Eagle Hollow Dr, San Antonio, TX 78248-1555 | 2010-10-03 |
| Find all providers in SAN ANTONIO | ||||
| City | SAN ANTONIO |
| Zip Code | 78257 |
Please comment or provide details below to improve the information on FRED DAVID PRENTICE.
| 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.