IZAIC JOHN HERNANDEZ (NPI# 1508903337) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508903337 |
| Entity Type | Individual |
| Full Name | IZAIC JOHN HERNANDEZ |
| Credential | AR.LOPP,TX.LPOA |
| Practice Address |
540 Madison Oak Dr Ste 270 San Antonio TX 78258-3930 |
| Mailing Address |
16543 Crested Butte St San Antonio TX 78247-1503 |
| Practice Telephone | 2104953399 |
| Practice Fax Number | 2104953393 |
| Mailing Telephone | 2102649037 |
| Enumeration Date | 2007-01-31 |
| Last Update Date | 2008-02-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 174400000X | Specialist | 0056 | Other Service Providers | |
| N | 1744P3200X |
Specialist Specialization: Prosthetics Case Management |
00075 | Other Service Providers | |
| N | 222Z00000X | Orthotist | 00083 | AR | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Y | 224P00000X | Prosthetist | 00083 | AR | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| N | 225000000X | Orthotic Fitter | 334 | TX | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
540 MADISON OAK DR STE 270 |
| City | SAN ANTONIO |
| State | TX |
| Zip Code | 78258-3930 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851438493 | John A. Busch | Specialist | 540 Madison Oak Dr Ste 270, San Antonio, TX 78258-3930 | 2007-01-31 |
| 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 | 224P00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Prosthetist |
| A health care professional who is specifically educated and trained to manage comprehensive prosthetic patient care for individuals who have sustained complete or partial limb loss or absence. Prosthetists assess specific patient needs, formulate an appropriate treatment plan, implement the treatment plan and provide follow-up care. |
| Notes: Source: American Board for Certification in Orthotics, Prosthetics, and Pedorthics, Inc. [7/1/2010: modified, 7/1/2013: modified] Additional Resources: American Board for Certification in Orthotics, Prosthetics and Pedorthics, Inc., www.abcop.org and Board of Certification/Accreditation, International, www.bocusa.org. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356997332 | Taylor Nicole Hickson | Prosthetist | 7703 Floyd Curl Dr # Mc7798, San Antonio, TX 78229-3901 | 2019-08-14 |
| 1588226211 | New Life Brace and Limb, LLC | Prosthetist | 300 E. Sonterra Blvd., Suite 220, San Antonio, TX 78258 | 2019-07-02 |
| 1841705308 | Connie Thomas | Prosthetist | 5946 Blanco Rd Ste 101, San Antonio, TX 78216-6634 | 2017-12-06 |
| 1023528015 | Prosthetic Technology Center, Inc | Prosthetist | 7254 Blanco Rd Ste 200, San Antonio, TX 78216-4930 | 2017-10-04 |
| 1811253990 | Jaclyn Suzanne Astorga | Prosthetist | 7400 Merton Minter St # 121, San Antonio, TX 78229-4404 | 2012-04-03 |
| 1356610596 | Randolph Farley | Prosthetist | 4319 Medical Dr Ste 106, San Antonio, TX 78229-3325 | 2011-12-16 |
| 1497727259 | Ricardo Morales Ramos | Prosthetist | 8519 Callaghan Rd, San Antonio, TX 78230-4948 | 2006-02-06 |
| 1669721338 | William Stanley Vydrzal | Prosthetist | 111 Dallas St, Ste 200-a, San Antonio, TX 78205-1201 | 2012-09-10 |
| 1811255714 | Phillip Harrison | Prosthetist | 1901 Babcock Rd, San Antonio, TX 78229-4554 | 2012-04-27 |
| 1700170578 | Jeffrey Robert Forbes | Prosthetist | 111 Dallas St, Suite 200-a, San Antonio, TX 78205-1201 | 2011-06-08 |
| Find all providers in SAN ANTONIO | ||||
| City | SAN ANTONIO |
| Zip Code | 78258 |
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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.