DR. JOHN KENNEDY GRESHAM


Address: 19276 Stone Oak Pkwy, Suite 103, San Antonio, TX 78258
Phone: 2104990448

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).

Provider Overview

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

Taxonomy

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

Office Location

Street Address 19276 STONE OAK PKWY
SUITE 103
City SAN ANTONIO
State TX
Zip Code 78258

Providers in the same location

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

Providers in the same zip code

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 Information

Taxonomy Code 207RI0011X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Interventional Cardiology

Taxonomy Definition

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)

Providers in the same taxonomy and city

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

Competitor

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City SAN ANTONIO
Zip Code 78258

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Dataset Information

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.

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