MR. CLEVELAND PHILLIPS JR. (NPI# 1700438827) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700438827 |
| Entity Type | Individual |
| Full Name | MR. CLEVELAND PHILLIPS JR. |
| Practice Address |
11146 Vance Jackson Rd Apt 3801 San Antonio TX 78230-2563 |
| Practice Telephone | 2103325408 |
| Mailing Telephone | 2103325408 |
| Enumeration Date | 2019-07-09 |
| Last Update Date | 2019-07-09 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 305R00000X | Preferred Provider Organization | Managed Care Organizations |
| Street Address |
11146 VANCE JACKSON RD APT 3801 |
| City | SAN ANTONIO |
| State | TX |
| Zip Code | 78230-2563 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184224834 | Natasha Bakunda | Nurse Practitioner | Fountainhead One Tower, 8200 Ih-10 West, Ste 317, San Antonio, TX 78230 | 2020-10-30 |
| 1154930568 | James Cory Vasquez | Pharmacist | 9900 Wurzbach Road, San Antonio, TX 78230 | 2020-07-31 |
| 1861033144 | Aspasia Amtsberg | Licensed Practical Nurse | 7710 W I-10, San Antonio, TX 78230 | 2019-10-08 |
| 1841840212 | Allison Danielle Davidson | Licensed Vocational Nurse | 7710 West, I-10, San Antonio, TX 78230 | 2019-09-17 |
| 1063062800 | Dalisa Kelly Bacon | Nurse's Aide | 7710 West I 10, San Antonio, TX 78230 | 2019-09-13 |
| 1952878134 | Yvette Turner | Licensed Practical Nurse | 4951 Woodstone Dr, Apt 615 Face 2, San Antonio, TX 78230 | 2018-10-25 |
| 1396226270 | Tammy Lynn Saldana | Registered Nurse | 7710 W I10, San Antonio, TX 78230 | 2018-08-28 |
| 1891275699 | Nina Lum Fru Baumgarten | Counselor | 7710 W1h 10, San Antonio, TX 78230 | 2018-08-21 |
| 1952880833 | Rebecca N Khorram | Speech-Language Pathologist | I-10 W 10609 Frontage Rd, 105, San Antonio, TX 78230 | 2018-08-10 |
| 1770071540 | Michael Allen Kent | Counselor | Northwest Atrium, 11550 West I-10, Suite 235, San Antonio, TX 78230 | 2018-04-27 |
| Find all providers in zip 78230 | ||||
| Taxonomy Code | 305R00000X |
| Grouping | Managed Care Organizations |
| Classification | Preferred Provider Organization |
| A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level. |
| Notes: Source: "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/ October 1995, p. 62 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942682737 | Mind, Body & Soul, Inc. | Preferred Provider Organization | 1139 Gembler Rd, San Antonio, TX 78219-3224 | 2015-06-29 |
| 1639508799 | Uthscsa, Dental School | Preferred Provider Organization | 7703 Floyd Curl Dr # 7892, San Antonio, TX 78229-3901 | 2013-11-08 |
| 1740511336 | Pressing On | Preferred Provider Organization | 12001 Network Blvd, Suite 314, San Antonio, TX 78249-3351 | 2010-01-20 |
| 1447404181 | Karen Rice Brydon | Preferred Provider Organization | 3107 Broadway St, San Antonio, TX 78209-6718 | 2008-11-07 |
| 1700074176 | A Femme | Preferred Provider Organization | 14327 Blanco Rd, San Antonio, TX 78216-7723 | 2007-10-10 |
| 1548702582 | Woods R. Woolwine IIi, Dds, Pllc | Preferred Provider Organization | 155 E Sonterra Blvd, Ste 205, San Antonio, TX 78258-3987 | 2016-11-08 |
| 1831561208 | Pro-active Neurology & Sports Rehab | Preferred Provider Organization | 7355 Barlite Blvd Ste 101, San Antonio, TX 78224-1340 | 2015-10-26 |
| 1043640469 | Jawad Zar Shaikh, M.d., P. A. | Preferred Provider Organization | 414 Navarro St, Suite 1431, San Antonio, TX 78205-2516 | 2013-11-21 |
| 1932460318 | Shana Nistar, D.d.s. P.C. | Preferred Provider Organization | 1202 E Sonterra Blvd, 502, San Antonio, TX 78258-4089 | 2012-06-02 |
| 1639330186 | Adobe Creek Family Medical Clinic, Pa | Preferred Provider Organization | 2826 Thousand Oaks Dr, San Antonio, TX 78232-4108 | 2008-06-18 |
| Find all providers in SAN ANTONIO | ||||
| City | SAN ANTONIO |
| Zip Code | 78230 |
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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.