FOSSIL CREEK ER PHYSICIANS PLLC (NPI# 1831513944) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831513944 |
| Entity Type | Organization |
| Organization Name | FOSSIL CREEK ER PHYSICIANS PLLC |
| Practice Address |
22250 Bulverde Rd Suite 120 San Antonio TX 78261-3084 |
| Mailing Address |
Po Box 93058 Southlake TX 76092-1058 |
| Practice Telephone | 2104018185 |
| Practice Fax Number | 2104018187 |
| Mailing Telephone | 8174210034 |
| Mailing Fax Number | 8174210036 |
| Enumeration Date | 2014-02-10 |
| Last Update Date | 2016-01-25 |
| Authorized Official Name | MR. JOHN NEIMAN (GENERAL COUNSEL) |
| Authorized Official Telephone | 8174210034 |
| Authorized Official Credential | ESQ. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207PE0004X |
Emergency Medicine Specialization: Emergency Medical Services |
Allopathic & Osteopathic Physicians |
| Street Address |
22250 BULVERDE RD SUITE 120 |
| City | SAN ANTONIO |
| State | TX |
| Zip Code | 78261-3084 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205875309 | Brian S Johnson | Nurse Practitioner | 22250 Bulverde Rd, Ste 120, San Antonio, TX 78261-3084 | 2006-06-05 |
| 1114311636 | Comprehensive Primary Care Group Inc. | Family Medicine | 22250 Bulverde Rd, Suite 111, San Antonio, TX 78261-3084 | 2015-03-23 |
| 1740603422 | 22250 Bulverde Cec Fossil Creek LLC | Clinic/Center | 22250 Bulverde Rd, 120, San Antonio, TX 78261-3084 | 2014-01-30 |
| 1205270097 | Barlite Urgent Care Pllc | Clinic/Center | 22250 Bulverde Rd, Suite 120, San Antonio, TX 78261-3084 | 2013-04-23 |
| 1922270982 | Teresa M. Godinez | Internal Medicine | 22250 Bulverde Rd, Ste 120, San Antonio, TX 78261-3084 | 2008-03-31 |
| 1003007295 | Obinna C. Uzowulu | Family Medicine | 22250 Bulverde Rd, Suite 111, San Antonio, TX 78261-3084 | 2007-08-05 |
| 1790891661 | Salvador Abrams | Emergency Medicine | 22250 Bulverde Rd, Ste 120, San Antonio, TX 78261-3084 | 2006-08-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891275608 | Jamie Raye Spencer | Registered Nurse | 25622 Coral Vine, San Antonio, TX 78261 | 2018-08-21 |
| 1023517083 | Elaina Garcia | Behavior Technician | 26210 Big Bluestem, San Antonio, TX 78261 | 2018-02-06 |
| 1053867879 | A Daughter's Love for Senior Care At Stone Oak | Custodial Care Facility | 4092 Tpc Pkwy, San Antonio, TX 78261 | 2016-08-31 |
| 1982837811 | Lyzete A. Talla | Registered Nurse | 3846 Sweet Olive, San Antonio, TX 78261 | 2009-08-26 |
| 1073775813 | Alberto Vargas | Family Medicine | 3333 Research Plaza, San Antonio, TX 78261 | 2008-07-01 |
| 1003926866 | Ronald J Stark | Chiropractor | 25610 Sago Palm, San Antonio, TX 78261 | 2006-08-30 |
| 1922061886 | Mary Christine Clarke | Nurse Practitioner | 25518 Wounded Knee, San Antonio, TX 78261 | 2006-04-10 |
| 1801864616 | Gil J Cerros | Military Health Care Provider | 25850 Big Bluestem, San Antonio, TX 78261 | 2006-03-08 |
| 1356331656 | Kevin Patrick Banks | Nuclear Medicine | San Antonio Military Medical Center, 3551 Roger Brooke Dr, Ft Sam Houston, TX 78261 | 2005-10-27 |
| 1831593664 | Amour Healthcare Services, Inc. | Home Health | 3846 Sweet Olive, San Antonio, TX 78261 | 2014-10-22 |
| Find all providers in zip 78261 | ||||
| Taxonomy Code | 207PE0004X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| Specialization | Emergency Medical Services |
| An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) is issued by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063652147 | Sean Wang | Emergency Medicine | 7703 Floyd Curl Drive, Ms 7736, Uthscsa, Department of Emergency Medicine, San Antonio, TX 78229 | 2009-03-02 |
| 1194778886 | Ted W Switzer | Emergency Medicine | 14719 Sir Huon St, San Antonio, TX 78248-1147 | 2006-05-17 |
| 1295720209 | Joseph L Mcdaniel | Emergency Medicine | 111 Dallas Street, Emergency Room, San Antonio, TX 78205-1201 | 2005-09-15 |
| 1740280999 | Keith Beck | Emergency Medicine | 7579 N Loop 1604 W, Suite 101, San Antonio, TX 78249-2781 | 2005-07-29 |
| 1255841011 | 2013 Pearl Er Physicians Pllc | Emergency Medicine | 2015 Broadway St, San Antonio, TX 78215-1117 | 2017-10-06 |
| 1578934881 | Cec City Base Er Physicians Pllc | Emergency Medicine | 2619 Se Military Dr, 101, San Antonio, TX 78223-4312 | 2015-10-13 |
| 1528453495 | Cec Dezavala Er Physicians Pllc | Emergency Medicine | 4999 De Zavala Rd, San Antonio, TX 78249-2097 | 2015-03-30 |
| 1194117374 | Cec Alamo Heights Er Physicians Pllc | Emergency Medicine | 6496 N New Braunfels Ave, San Antonio, TX 78209-3827 | 2015-02-25 |
| 1124364302 | Cec San Antonio Er Physicians Pllc | Emergency Medicine | 10628 Culebra Rd, San Antonio, TX 78251-1312 | 2012-12-17 |
| 1326204744 | Mario Benjamin Fernandez | Emergency Medicine | 11212 State Highway 151, San Antonio, TX 78251-4498 | 2008-08-05 |
| Find all providers in SAN ANTONIO | ||||
| City | SAN ANTONIO |
| Zip Code | 78261 |
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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.