DR. JOHN KENNEDY GRESHAM (NPI# 1619170347) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1619170347 |
Entity Type | Individual |
Full Name | DR. JOHN KENNEDY GRESHAM |
Credential | M.D. |
Practice Address |
19276 Stone Oak Pkwy Suite 103 San Antonio TX 78258 |
Mailing Address |
19276 Stone Oak Pkwy Suite 103 San Antonio TX 78258-3378 |
Practice Telephone | 2104990448 |
Practice Fax Number | 2104039167 |
Mailing Telephone | 2104990448 |
Mailing Fax Number | 2104039167 |
Enumeration Date | 2007-06-08 |
Last Update Date | 2018-07-03 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
M6641 | TX | Allopathic & Osteopathic Physicians |
N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
0101230320 | VA | Allopathic & Osteopathic Physicians |
Y | 207RI0011X |
Internal Medicine Specialization: Interventional Cardiology |
M6641 | TX | Allopathic & Osteopathic Physicians |
N | 207UN0901X |
Nuclear Medicine Specialization: Nuclear Cardiology |
M6641 | TX | Allopathic & Osteopathic Physicians |
Street Address |
19276 STONE OAK PKWY SUITE 103 |
City | SAN ANTONIO |
State | TX |
Zip Code | 78258 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1922081900 | Gerald Max Koppes | Internal Medicine | 19276 Stone Oak Pkwy, Suite 103, San Antonio, TX 78258-3378 | 2005-11-23 |
1881028801 | San Antonio Heart Imaging, Pllc | Nuclear Medicine | 19276 Stone Oak Pkwy, Suite 103 A, San Antonio, TX 78258-3378 | 2013-08-27 |
1053758045 | San Antonio Heart Pllc | Internal Medicine | 19276 Stone Oak Pkwy, Suite 103, San Antonio, TX 78258-3378 | 2013-05-30 |
1295001766 | Cardiovascular Consultants of San Antonio, Pllc | Internal Medicine | 19276 Stone Oak Pkwy, Suite 103, San Antonio, TX 78258-3378 | 2012-03-28 |
1619013554 | James Albert Baros Jr. | Specialist | 19276 Stone Oak Pkwy, Suite 102, San Antonio, TX 78258-3222 | 2007-01-29 |
1689710493 | Baros and Baros Family Practice Pa | Specialist | 19276 Stone Oak Pkwy, Suite 102, San Antonio, TX 78258-3222 | 2007-01-29 |
1992841860 | Larry Wayne Baros | Specialist | 19276 Stone Oak Pkwy, Suite 102, San Antonio, TX 78258-3378 | 2007-01-29 |
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 | 207RI0011X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Interventional Cardiology |
An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/ Board Certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. ACGME Accredited Residency Program Requirements: 1 year of training plus a prerequisite of 3 years Internal Medicine, 3 years Cardiovascular Disease for a total of 7 years. ABMS Approved Subspecialty Certificate (Internal Medicine) |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1487162368 | Cardiac Cin of West Texas LLC | Internal Medicine | 18911c Hardy Oak Blvd, San Antonio, TX 78258-4966 | 2018-01-13 |
1235343922 | Mohammad Salah El Bash | Internal Medicine | 900 Oblate Dr, San Antonio, TX 78216-7332 | 2007-05-10 |
1003886409 | Jean H Liu | Internal Medicine | 1139 E Sonterra Blvd Ste 520, San Antonio, TX 78258-4347 | 2006-01-26 |
1336612274 | Brooks City Base Cardiovascular | Internal Medicine | 4025 E Southcross Blvd Ste 15, San Antonio, TX 78222-3641 | 2019-01-03 |
1952808826 | Zar Shaikh Md Pllc | Internal Medicine | 11130 Christus Hills, Suite 207 Medical Plaza 3, San Antonio, TX 78251 | 2018-04-09 |
1578985610 | Rivercity Cardiovascular of San Antonio Pllc | Internal Medicine | 311 Camden St, Ste 102, San Antonio, TX 78215-2012 | 2014-01-08 |
1396181384 | Jorge C Magallon Md Pa | Internal Medicine | 311 Camden St, 102, San Antonio, TX 78215-2012 | 2013-05-16 |
1295001766 | Cardiovascular Consultants of San Antonio, Pllc | Internal Medicine | 19276 Stone Oak Pkwy, Suite 103, San Antonio, TX 78258-3378 | 2012-03-28 |
1982979605 | Methodist Medical Group, Pllc | Internal Medicine | 8109 Fredericksburg Rd, Physician Practice Services, San Antonio, TX 78229-3311 | 2012-03-13 |
1275802175 | Milton Alvis, Md, Pa | Internal Medicine | 2833 Babcock Rd, Suite 445, San Antonio, TX 78229-5390 | 2011-12-21 |
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.