DR. KATHLEEN JANE LYSSY (NPI# 1831182005) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831182005 |
| Entity Type | Individual |
| Full Name | DR. KATHLEEN JANE LYSSY |
| Credential | M.D. |
| Practice Address |
6100 Bandera Rd 403 San Antonio TX 78238-1652 |
| Practice Telephone | 2102569500 |
| Practice Fax Number | 2102568720 |
| Mailing Telephone | 2102569500 |
| Mailing Fax Number | 2102568720 |
| Enumeration Date | 2005-08-23 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | J8039 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | BLUE CROSS BLUE SHIELD | 0086EU | 01 |
| Street Address |
6100 BANDERA RD 403 |
| City | SAN ANTONIO |
| State | TX |
| Zip Code | 78238-1652 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205039559 | Kenneth M. Lyssy Jr Md Pa | Family Medicine | 6100 Bandera Rd, Suite 403, San Antonio, TX 78238-1652 | 2007-06-06 |
| 1275759540 | Pain & Neuromuscular Clinic of Texas, P.a. | Specialist | 6100 Bandera Rd, 710, San Antonio, TX 78238-1652 | 2007-04-17 |
| 1316061377 | Carlos Javier Diaz Velez | Internal Medicine | 6100 Bandera Rd, Suite 215, San Antonio, TX 78238-1652 | 2007-03-16 |
| 1417086372 | Lawrence Paul Dimiceli | Dentist | 6100 Bandera Rd, Ste 300, San Antonio, TX 78238 | 2007-03-05 |
| 1831284892 | Praful R Mehta | Internal Medicine | 6100 Bandera Rd, Suite 710, San Antonio, TX 78238-1652 | 2006-10-04 |
| 1194718361 | Kenneth M Lyssy Jr. | Family Medicine | 6100 Bandera Rd, 403, San Antonio, TX 78238-1652 | 2005-08-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598383259 | Dialysis Clinic Inc. | Clinic/Center | 6146 Wurzbach Road, San Antonio, TX 78238 | 2020-07-09 |
| 1043857360 | Danielle Renee De Luna | Counselor | 5505 Lost Lane, San Antonio, TX 78238 | 2019-12-05 |
| 1013444777 | Avery Rodriguez | Physical Therapy Assistant | 5270 Bandera Rd Ste 14, San Antonio, TX 78238 | 2017-05-12 |
| 1760898894 | Silas Pimentel | Physical Therapist | 5720 Bandera Rd Ste 14, San Antonio, TX 78238 | 2014-07-09 |
| 1942550553 | Stanley Toh Forze | Registered Nurse | 6933 Border Brk Apt 1910, San Antonio, TX 78238 | 2012-09-12 |
| 1891004032 | Texan Smile Dentistry 3 PC | Dentist | 5983 Bandera Rd., San Antonio, TX 78238 | 2010-10-06 |
| 1275847683 | Deborah Michelle Solorzano | Dentist | 5715 Evers Road, San Antonio, TX 78238 | 2010-07-28 |
| 1932436326 | Campos Family Dental, P.C. | Dentist | 6140 Wurzbach Road, San Antonio, TX 78238 | 2009-11-06 |
| 1063665495 | Benjamino L Granato | Durable Medical Equipment & Medical Supplies | 6415 Bandera, San Antonio, TX 78238 | 2008-10-29 |
| 1891962262 | Gerald L Froemming | Dentist | 6436 Bandera Road, #1, San Antonio, TX 78238 | 2008-05-14 |
| Find all providers in zip 78238 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| 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 |
|---|---|---|---|---|
| 1760080014 | Stephanie Kennedy | Internal Medicine | 503 E Sonterra Blvd, San Antonio, TX 78258-4058 | 2020-10-09 |
| 1356966287 | All-american Allergy Asthma & Immunology Center | Internal Medicine | 1303 Mccullough Ave Ste 362, San Antonio, TX 78212-5620 | 2020-06-16 |
| 1154945913 | Primera Wellness LLC | Internal Medicine | 1603 Babcock Rd Ste 238-2, San Antonio, TX 78229-4708 | 2020-06-07 |
| 1982244612 | Douglas Shawn Owens | Internal Medicine | 503 E Sonterra Blvd Ste 102, San Antonio, TX 78258-4059 | 2020-01-10 |
| 1053872937 | Southern Texas Physicians,llc | Internal Medicine | 14345 Blanco Rd, San Antonio, TX 78216-7723 | 2019-03-25 |
| 1568929479 | Abc Medical Concierge LLC | Internal Medicine | 2838 N Loop 1604 E Ste 104, San Antonio, TX 78232-1712 | 2019-02-27 |
| 1861972796 | Integrative Health Solution, LLC | Internal Medicine | 10007 Huebner Rd Ste 106, San Antonio, TX 78240-1646 | 2018-08-20 |
| 1528553039 | Remington Wellness Group Dba Truemed Health Centers | Internal Medicine | 525 Oak Centre Dr Ste 230, San Antonio, TX 78258-3916 | 2018-06-27 |
| 1942733662 | Tasnim Islam | Internal Medicine | 12446 West Ave Ste 102, San Antonio, TX 78216-2530 | 2017-04-10 |
| 1154866135 | Chris Dire | Internal Medicine | 3551 Roger Brooke Dr., Jbsa-fort Sam Houston, San Antonio Military Medical Center, San Antonio, TX 78234-4504 | 2016-12-29 |
| Find all providers in SAN ANTONIO | ||||
| City | SAN ANTONIO |
| Zip Code | 78238 |
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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.