DR. MARIO JESUS DE LOS SANTOS III (NPI# 1568806115) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568806115 |
| Entity Type | Individual |
| Full Name | DR. MARIO JESUS DE LOS SANTOS III |
| Credential | M.D. |
| Practice Address |
800 Scott and White Dr College Station TX 77845-6440 |
| Mailing Address |
Po Box 844658 Dallas TX 75284-4658 |
| Practice Telephone | 9792074000 |
| Mailing Telephone | 2547248800 |
| Enumeration Date | 2013-04-25 |
| Last Update Date | 2019-07-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
Q8709 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | SCOTT AND WHITE | 10059062200 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881226538 | Mario Jesus De Los Santos Jr. | Pharmacist | 2515 Broadway St, San Antonio, TX 78215-1037 | 2020-02-11 |
| Street Address |
800 SCOTT AND WHITE DR |
| City | COLLEGE STATION |
| State | TX |
| Zip Code | 77845-6440 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225039852 | Ibrahim Ahmed Salejee | Internal Medicine | 800 Scott and White Dr, College Station, TX 77845-6440 | 2005-08-04 |
| 1003427758 | Monica Shields | Dietitian, Registered | 800 Scott and White Dr, College Station, TX 77845-6440 | 2020-08-14 |
| 1588200539 | Glenn Taylor Anderson | Physical Therapist | 800 Scott and White Dr, College Station, TX 77845-6440 | 2019-11-25 |
| 1174166458 | Cynthia Joy Buche | Nurse Practitioner | 800 Scott and White Dr, College Station, TX 77845-6440 | 2019-10-19 |
| 1144863531 | Amy Campbell | Nurse Practitioner | 800 Scott and White Dr, College Station, TX 77845-6440 | 2019-10-18 |
| 1932764057 | Julia Dawn Meyer | Dietitian, Registered | 800 Scott and White Dr, College Station, TX 77845-6440 | 2019-05-03 |
| 1780140202 | Ashley Barnes | Nurse Practitioner | 800 Scott and White Dr, College Station, TX 77845-6440 | 2019-02-20 |
| 1538642988 | Danielle R Smith | Nurse Practitioner | 800 Scott and White Dr, College Station, TX 77845 | 2018-09-12 |
| 1902382393 | Julie Champeau Thompson | Occupational Therapist | 800 Scott and White Dr, College Station, TX 77845-6440 | 2018-07-18 |
| 1811491038 | Brittney A Pohler | Physician Assistant | 800 Scott and White Dr, College Station, TX 77845-6440 | 2018-03-21 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518503101 | Aggieland Urgent Care Pllc | Clinic/Center | 13055 Fm 2154 Rd, College Station, TX 77845 | 2019-11-19 |
| 1770053399 | Alyssa Nicole Sanchez | Licensed Vocational Nurse | 4030 Hwy 6 S 150, College Station, TX 77845 | 2018-11-27 |
| 1154805778 | Medical Care Innovation, P.C. | Clinic/Center | 200 Quality Circle, College Station, TX 77845 | 2018-09-19 |
| 1003302530 | Kaye Lynn Tseng | Registered Nurse | 4030 Hightway 6 South, College Station, TX 77845 | 2018-07-09 |
| 1083117907 | College Station Dentistry and Orthodontics Pllc | Dentist | 11671 Fm 2154, Suite 400, College Station, TX 77845 | 2018-03-16 |
| 1912409954 | H-e-b, Lp | Clinical Medical Laboratory | 11675 Fm 2154, College Station, TX 77845 | 2018-03-06 |
| 1871095745 | Gregory Nicholas Perry | Physical Therapist | 4091 Sh 6 South, Suite B, College Station, TX 77845 | 2018-03-06 |
| 1811435639 | Michael Patke | Student in an Organized Health Care Education/Training Program | 10613 Deer Run Dr., College Station, TX 77845 | 2017-02-01 |
| 1558810473 | Sara Beth Williamson | Nurse Practitioner | 4401 State Hwy 6 S, College Station, TX 77845 | 2016-10-04 |
| 1881067379 | Kieshia Lewis | Occupational Therapy Assistant | 2700 Earl Rudder Frwy Suite 1200, College Station, TX 77845 | 2015-11-05 |
| Find all providers in zip 77845 | ||||
| Taxonomy Code | 207RG0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Gastroenterology |
| An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. |
| 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 Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639267727 | Kuppusamy Ragupathi | Internal Medicine | 1602 Rock Prairie Road, Suite 200, College Station, TX 77845 | 2006-10-11 |
| 1366458309 | Tony E Yusuf | Internal Medicine | 800 Scott and White Dr, College Station, TX 77845-6440 | 2006-07-31 |
| 1538120274 | Robert Mark Richards | Internal Medicine | 800 Scott and White Dr, College Station, TX 77845 | 2006-03-31 |
| 1366402182 | Richard John Dusold | Internal Medicine | 1700 University Dr E, College Station, TX 77840-2661 | 2006-03-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033716014 | Kingwood Gastroenterology Pllc | Internal Medicine | 210 W Park Ste 100, Livingston, TX 77351-8337 | 2020-10-03 |
| 1003432543 | Dc Gastro Konsult | Internal Medicine | 11620 Pellicano Dr Ste B, El Paso, TX 79936-6250 | 2020-06-21 |
| 1851946917 | Sunbal Zafar Pllc | Internal Medicine | 3125 Matlock Rd Ste 108, Arlington, TX 76015-2905 | 2019-08-06 |
| 1174188718 | Kesar Family Pllc | Internal Medicine | 3303 Rodgers Road, Suite 250, San Antonio, TX 78251 | 2019-05-09 |
| 1205393279 | Fatema S Uddin Md, Pllc | Internal Medicine | 601 Omega Dr Ste 201, Arlington, TX 76014-2075 | 2019-02-26 |
| 1952875932 | Aimee Lin Simington | Internal Medicine | 609 Medical Center Dr Ste 2600, Decatur, TX 76234-3846 | 2019-01-14 |
| 1265903652 | Michael S Brown | Internal Medicine | 5323 Harry Hines Blvd Rm L5.238, Dallas, TX 75390-9046 | 2018-12-10 |
| 1174098883 | Texas Digestive Care, Pllc | Internal Medicine | 2900 N I 35 Ste 210, Denton, TX 76201-5145 | 2018-10-09 |
| 1194208892 | El Paso Center for Pediatric Gastroenterology Pa | Internal Medicine | 2311 N Mesa St Ste C, El Paso, TX 79902-3575 | 2018-09-10 |
| 1821594052 | Tanmayi Gaikwad | Internal Medicine | 16651 Southwest Fwy Ste 370, Sugar Land, TX 77479-2348 | 2018-04-05 |
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| City | COLLEGE STATION |
| Zip Code | 77845 |
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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.