DR. MARISA RACHEL GOSSWEILER (NPI# 1588958615) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588958615 |
| Entity Type | Individual |
| Full Name | DR. MARISA RACHEL GOSSWEILER |
| Other Name | MARISA RACHEL LONG |
| Credential | D.O. |
| Practice Address |
3851 Roger Brooke Dr San Antonio TX 78234-4501 |
| Mailing Address |
19692 Bat Cave Rd San Antonio TX 78266-2510 |
| Practice Telephone | 6317672370 |
| Mailing Telephone | 6317672370 |
| Enumeration Date | 2011-06-07 |
| Last Update Date | 2018-03-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
951 | NE | Allopathic & Osteopathic Physicians |
| N | 208D00000X | General Practice | 951 | NE | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 19692 Bat Cave Rd, San Antonio, TX 782662510 | 6317672370 | |
| 9040 Fitzsimmons Dr, Joint Base Lewis Mcchord, WA 984311000 | 2539685604 |
| Street Address |
3851 ROGER BROOKE DR |
| 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 |
| 1447558416 | Carlos Armando Mota | General Practice | 3851 Roger Brooke Dr, Fort Sam Houston, San Antonio, TX 78234-4501 | 2011-03-01 |
| 1457664922 | Edwin Gandia | Student in an Organized Health Care Education/Training Program | 3851 Roger Brooke Dr, Mche-qd, San Antonio, TX 78234-4501 | 2010-07-26 |
| 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 | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689294118 | Yolanda Salas Vergara | Radiology | 215 E Quincy St Ste 100, San Antonio, TX 78215-2032 | 2020-04-24 |
| 1568095123 | Century Radiology Medical Group, Inc | Radiology | 7102 Bethencourt, San Antonio, TX 78209-3407 | 2020-02-21 |
| 1760030852 | Francis Joseph Carabin | Radiology | 318 E Nakoma St, San Antonio, TX 78216-2795 | 2019-08-31 |
| 1518421619 | Alvarado Radiology Group Inc, A Professional Corporation | Radiology | 12202 Chambers Cv, San Antonio, TX 78253-6357 | 2019-01-23 |
| 1649751058 | Mri Centers of Texas LLC - San Antonio Series | Radiology | 4400 Vance Jackson Rd, San Antonio, TX 78230-5323 | 2018-08-23 |
| 1457879215 | Concord Imaging | Radiology | 18802 Meisner Drive, San Antonio, TX 78252-4251 | 2017-08-31 |
| 1699157289 | Apurva Ashok Bonde | Radiology | 4502 Medical Dr # L340, San Antonio, TX 78229-4402 | 2015-06-19 |
| 1316337140 | Carl R Keener | Radiology | 15303 Huebner Rd Ste 11, San Antonio, TX 78248-0983 | 2015-02-02 |
| 1912260472 | John Damon Pavlus | Radiology | 331 E Fest St, San Antonio, TX 78204-1954 | 2012-06-20 |
| 1215235916 | Justin Costello | Radiology | 3851 Roger Brooke Drive, Fort Sam Houston, San Antonio, TX 78234-6200 | 2011-03-03 |
| 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.