JOHN CHARLES BURNSIDE (NPI# 1942372057) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942372057 |
| Entity Type | Individual |
| Full Name | JOHN CHARLES BURNSIDE |
| Credential | M.D. |
| Practice Address |
13535 Jones Maltsberger Rd San Antonio TX 78247-3928 |
| Practice Telephone | 2104965437 |
| Practice Fax Number | 2104962804 |
| Mailing Telephone | 2104965437 |
| Mailing Fax Number | 2104962804 |
| Enumeration Date | 2006-11-14 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
F1418 | TX | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881117687 | John A Burnside | Pharmacy Technician | 1808 E 21st St, Cheyenne, WY 82001-4136 | 2017-07-24 |
| 1306224688 | John Burnside Jr. | Specialist/Technologist | 777 Glades Rd, Boca Raton, FL 33431-6424 | 2015-05-07 |
| 1366835563 | John Davis Burnside | Physician Assistant | 4300 Londonderry Rd, Harrisburg, PA 17109-5317 | 2015-03-12 |
| Street Address |
13535 JONES MALTSBERGER RD |
| City | SAN ANTONIO |
| State | TX |
| Zip Code | 78247-3928 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265606669 | Nancy Hamilton Peterson | Social Worker | 13535 Jones Maltsberger Rd, San Antonio, TX 78247-3928 | 2008-04-16 |
| 1629141130 | Kristeen Rene Spratley | Psychiatry & Neurology | 13535 Jones Maltsberger Rd, San Antonio, TX 78247-3928 | 2006-11-15 |
| 1336211465 | Gary M Barnard | Psychologist | 13535 Jones Maltsberger Rd, San Antonio, TX 78247-3928 | 2006-11-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487134466 | Minerva Desdemona Williams | Occupational Therapy Assistant | 1 Heartland Drive, San Antonio, TX 78247 | 2018-08-18 |
| 1730698903 | Stefanie Anne Gray | Psychologist | 14802 Jones Maltsberger Rd Ste 1201, San Antonio, TX 78247 | 2017-09-20 |
| 1710405618 | Denisa Nicole Lopez | Physical Therapist | 16506 Blanco Key, San Antonio, TX 78247 | 2017-08-31 |
| 1114458361 | H-e-b, Lp | Eyewear Supplier (Equipment, not the service) | 17238 Bulverde Rd, San Antonio, TX 78247 | 2017-03-21 |
| 1376083899 | H-e-b, Lp | Clinical Medical Laboratory | 17238 Bulverde Road, San Antonio, TX 78247 | 2017-03-02 |
| 1417494659 | Cook Childrens Home Health | Durable Medical Equipment & Medical Supplies | 11911 Starcrest Drive, San Antonio, TX 78247 | 2017-01-26 |
| 1245772268 | Sarah Rudd | Specialist/Technologist | 5126 Spring Bridge, San Antonio, TX 78247 | 2016-11-08 |
| 1477903938 | Kadie Patricia Kress | Physical Therapist | 4718 Cypress Mill Dr, San Antonio, TX 78247 | 2016-06-15 |
| 1649653288 | Regina Giannola | Perfusionist | 6742 Manor Hill Dr., San Antonio, TX 78247 | 2015-07-01 |
| 1538565189 | Swift Eye Care, Pllc | Optometrist | 17230 Bulverde Rd, Suite 104, San Antonio, TX 78247 | 2014-11-10 |
| Find all providers in zip 78247 | ||||
| Taxonomy Code | 2084P0804X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Child & Adolescent Psychiatry |
| Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588076343 | Amber Mansoor | Psychiatry & Neurology | 16007 Via Shavano Ste 101, San Antonio, TX 78249-2359 | 2014-05-28 |
| 1376858217 | Charles H. Sargent, M.d., P.a. | Psychiatry & Neurology | 2832 Nacogdoches Rd, San Antonio, TX 78217-5827 | 2010-08-16 |
| 1730372400 | Leonard Eugene Lawrence | Psychiatry & Neurology | 3107 Sable Crk, San Antonio, TX 78259-2636 | 2007-08-24 |
| 1124140793 | Lydia R Lopez, M.d., P.a. | Psychiatry & Neurology | 12915 Jones Maltsberger Rd Ste 603, San Antonio, TX 78247-4256 | 2007-04-04 |
| 1558446153 | Moises Gonzalo Rodriguez | Psychiatry & Neurology | 8535 Wurzbach Rd Ste 108, San Antonio, TX 78240-1263 | 2006-10-25 |
| 1972695021 | Elizabeth L. Mitchell | Psychiatry & Neurology | 11124 Wurzbach Rd Ste 300, San Antonio, TX 78230-2445 | 2006-09-28 |
| 1891707725 | Kenneth Lee Matthews | Psychiatry & Neurology | 13620 Nw Military Hwy., Bldg. 3, Suite 2, San Antonio, TX 78231 | 2006-08-12 |
| 1659382174 | Brigitte Bailey | Psychiatry & Neurology | 7703 Floyd Curl Dr # 7792, Uthscsa. Dept of Psychiatry, San Antonio, TX 78229-3901 | 2006-08-10 |
| 1316980816 | James A Rogers | Psychiatry & Neurology | 211 Patterson Ave, San Antonio, TX 78209-6230 | 2006-06-13 |
| 1891738449 | Maria G Dominguez | Psychiatry & Neurology | 12050 Vance Jackson Rd, San Antonio, TX 78230-1182 | 2006-06-13 |
| Find all providers in SAN ANTONIO | ||||
| City | SAN ANTONIO |
| Zip Code | 78247 |
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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.