DR. ANNA KATHERINE MIRK (NPI# 1679564041) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679564041 |
| Entity Type | Individual |
| Full Name | DR. ANNA KATHERINE MIRK |
| Credential | M.D. |
| Practice Address |
3851 Roger Brooke Dr Mche-qd (creds) San Antonio TX 78234-4501 |
| Practice Telephone | 2109165000 |
| Practice Fax Number | 2109162077 |
| Mailing Telephone | 2109165000 |
| Mailing Fax Number | 2109162077 |
| Enumeration Date | 2005-11-03 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0300X |
Internal Medicine Specialization: Geriatric Medicine |
01055678A | IN | Allopathic & Osteopathic Physicians |
| Street Address |
3851 ROGER BROOKE DR MCHE-QD (CREDS) |
| 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 |
| 1588958615 | Marisa Rachel Gossweiler | Radiology | 3851 Roger Brooke Dr, San Antonio, TX 78234-4501 | 2011-06-07 |
| 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 |
| 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 | 207RG0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Geriatric Medicine |
| An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital. |
| 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 |
|---|---|---|---|---|
| 1235450107 | Dr. Jesus G. Garcia, Md, Pa | Internal Medicine | 4423 Nw Loop 410 Ste 101, San Antonio, TX 78229 | 2010-06-15 |
| 1699968560 | Oscar Alberto Iznaola -esquivel | Internal Medicine | 1141 N Loop 1604 E, 105-434, San Antonio, TX 78232-1339 | 2007-08-23 |
| 1366547317 | Colleen M Kennedy | Internal Medicine | 6401 El Verde Rd, San Antonio, TX 78238-2323 | 2006-09-14 |
| 1386751352 | Michael Joseph Lichtenstein | Internal Medicine | 8300 Floyd Curl Drive, Ut Medicine At San Antonio-geriatrics, San Antonio, TX 78229-4403 | 2006-08-24 |
| 1871607820 | Mark Alan Prange | Internal Medicine | 5007 E Beverly Mae Dr, San Antonio, TX 78229-4940 | 2006-08-18 |
| 1245277300 | Jibrail Kasperkhan | Internal Medicine | 16906 Hidden Oak Woods, San Antonio, TX 78248-1403 | 2006-05-31 |
| 1396705471 | Guilford Robinson | Internal Medicine | 5150 Broadway St, 610, San Antonio, TX 78209-5710 | 2006-03-24 |
| 1275528978 | Joseph John Thayil | Internal Medicine | 4129 Naco Perrin Blvd, San Antonio, TX 78217-2505 | 2005-09-19 |
| 1639162746 | David Robert Wood | Internal Medicine | 4411 E Southcross Blvd, San Antonio, TX 78222-3726 | 2005-08-24 |
| 1528061017 | Sandra E Sanchez-reilly | Internal Medicine | 4502 Medical Dr, San Antonio, TX 78229 | 2005-05-27 |
| 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.