MEDICAL TECHNOLOGY PROVIDER, LLC (NPI# 1619362357) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619362357 |
| Entity Type | Organization |
| Organization Name | MEDICAL TECHNOLOGY PROVIDER, LLC |
| Practice Address |
2425 Babcock Rd Ste. 102 San Antonio TX 78229-4898 |
| Practice Telephone | 2102986630 |
| Mailing Telephone | 2102986630 |
| Enumeration Date | 2015-03-31 |
| Last Update Date | 2015-03-31 |
| Authorized Official Name | DMITRIY BUYANOV (PRESIDENT) |
| Authorized Official Telephone | 2102986630 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 246ZE0600X |
Specialist/Technologist, Other Specialization: Electroneurodiagnostic |
Technologists, Technicians & Other Technical Service Providers |
| Street Address |
2425 BABCOCK RD STE. 102 |
| City | SAN ANTONIO |
| State | TX |
| Zip Code | 78229-4898 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962414888 | Doc In The Box Pa | Specialist | 2425 Babcock Rd, Suite 111, San Antonio, TX 78229-4898 | 2006-08-12 |
| 1326607284 | Centrum Surgery Center | Clinic/Center | 2425 Babcock Rd, San Antonio, TX 78229-4898 | 2019-06-13 |
| 1215352331 | Premier Pain Consultants, Pllc | Pharmacy | 2425 Babcock Rd, Suite 108a, San Antonio, TX 78229-4898 | 2014-02-26 |
| 1699024190 | Medical Specialists of South Texas, Pa | Specialist | 2425 Babcock Rd, Ste. 111, San Antonio, TX 78229-4898 | 2012-08-30 |
| 1710253646 | Larina V Gutenberg Do Pllc | Anesthesiology | 2425 Babcock Rd, Suite 108, San Antonio, TX 78229-4898 | 2012-03-26 |
| 1710120126 | Alamo Rehabilitation & Medical Fitness Center LLC | Family Medicine | 2425 Babcock Rd, Suite 111, San Antonio, TX 78229-4898 | 2009-04-15 |
| 1346481611 | Medsurge Alliance, Pa | Anesthesiology | 2425 Babcock Rd, Suite 108, San Antonio, TX 78229-4898 | 2009-03-17 |
| 1558517821 | Babcock Surgical Center, LLC | Clinic/Center | 2425 Babcock Rd, Suite #106, San Antonio, TX 78229-4895 | 2008-08-18 |
| 1164510392 | Neurology & Neurophysiology, Pa | Psychiatry & Neurology | 2425 Babcock Rd, Suite 111, San Antonio, TX 78229-4895 | 2006-10-11 |
| 1861584492 | Jcmlr, Pa | Specialist | 2425 Babcock Rd, Suite 111, San Antonio, TX 78229-4895 | 2006-09-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245857226 | Lyndsey A Sandoval | Optometrist | 7400 Minton Miner St, San Antonio, TX 78229 | 2020-06-25 |
| 1295355311 | Nicolet Finger | Student in an Organized Health Care Education/Training Program | 7703 Floyd Curl Drive, Mc 7798, San Antonio, TX 78229 | 2020-04-18 |
| 1215557400 | Amy Elizabeth Werry | Clinical Neuropsychologist | 7703 Floyd Circle Drive, San Antonio, TX 78229 | 2020-04-17 |
| 1740822972 | Mohammad Safaie Yazdi | Student in an Organized Health Care Education/Training Program | Ut Health Science Center At San Antonio- Agdc, 8210 Floyd Curl Dr., Msc 8103, San Antonio, TX 78229 | 2019-10-09 |
| 1063053072 | Blas Edward Villa | Nurse Practitioner | 7703 Floyd Curl Drive Mc 7885 Pulmonary Diseases & Crit, Medicine, San Antonio, TX 78229 | 2019-10-01 |
| 1124673942 | Integrity Dme Services LLC | Durable Medical Equipment & Medical Supplies | 6323 Sovereign Dr, Suite # 170 Ab, San Antonio, TX 78229 | 2019-08-08 |
| 1730734120 | Marisa Erin Leyden | Speech-Language Pathologist | Joe R. & Teresa Lozano Long Campus, 7703 Floyd Curl Dr., San Antonio, TX 78229 | 2019-08-03 |
| 1285295741 | Alireza Ghezavati | Student in an Organized Health Care Education/Training Program | 7703 Floyd Curl Drive Mc 7750, Department of Pathology and Laboratory Medicine, San Antonio, TX 78229 | 2019-06-25 |
| 1407410285 | Denae Cheyenne Rushing | Student in an Organized Health Care Education/Training Program | 8201 Floyd Curl Drive, San Antonio, TX 78229 | 2019-04-26 |
| 1265993570 | Shehzad Amlani | Student in an Organized Health Care Education/Training Program | Address: 7703 Floyd Curl Dr, San Antonio, TX 78229 | 2019-03-28 |
| Find all providers in zip 78229 | ||||
| Taxonomy Code | 246ZE0600X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Specialist/Technologist, Other |
| Specialization | Electroneurodiagnostic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902411556 | Natalie Lily Avshman | Specialist/Technologist, Other | 10410 Legacy Cv, San Antonio, TX 78240-4421 | 2020-09-10 |
| 1114552627 | Caretact Management, LLC | Specialist/Technologist, Other | 5407 Southern Oaks, San Antonio, TX 78261-2485 | 2020-03-04 |
| 1043793532 | Mandeep Kaur | Specialist/Technologist, Other | 1141 N. Loop 1604 E. #105-612, San Antonio, TX 78232-7823 | 2018-09-11 |
| 1740761618 | Alexandra Kifer | Specialist/Technologist, Other | 1141 N Loop 1604 E Ste 105-446, San Antonio, TX 78232-1339 | 2018-08-28 |
| 1932688025 | Alamo Neuromonitoring, Pllc | Specialist/Technologist, Other | 5886 De Zavala Rd Ste 102 #496, San Antonio, TX 78249 | 2018-08-09 |
| 1083110787 | Hardy Oak Neuromonitoring, Pllc | Specialist/Technologist, Other | 2935 Thousand Oaks Dr Ste 6 # 231, San Antonio, TX 78247-3564 | 2018-04-02 |
| 1407358435 | Brain Sentinel Diagnostic Services | Specialist/Technologist, Other | 8023 Vantage Dr Ste 216, San Antonio, TX 78230-4790 | 2018-03-06 |
| 1053810226 | Synapse Diagnostics Inc. | Specialist/Technologist, Other | 4590 Lockhill Selma Rd, San Antonio, TX 78249-2073 | 2018-02-02 |
| 1730692484 | Safenerve, Pllc | Specialist/Technologist, Other | 7113 San Pedro Ave # 305, San Antonio, TX 78216-6219 | 2017-11-15 |
| 1336678135 | Gregory Arellanes | Specialist/Technologist, Other | 1141 N Loop 1604 E #105-612, San Antonio, TX 78232 | 2017-06-06 |
| Find all providers in SAN ANTONIO | ||||
| City | SAN ANTONIO |
| Zip Code | 78229 |
Please comment or provide details below to improve the information on MEDICAL TECHNOLOGY PROVIDER, LLC.
| 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.