SAN ANTONIO VAMC (NPI# 1962819045) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962819045 |
| Entity Type | Organization |
| Organization Name | SAN ANTONIO VAMC |
| Other Organization Name | SHAVANO PARK VA CBOC |
| Practice Address |
4350 Lockhill Selma Rd Suite 200 San Antonio TX 78249-2162 |
| Mailing Address |
Po Box 94546 Cleveland OH 44101 |
| Practice Telephone | 6153553451 |
| Mailing Telephone | 6153553451 |
| Enumeration Date | 2014-07-21 |
| Last Update Date | 2017-09-27 |
| Authorized Official Name | ERIN POTTER (NPI TEAM MEMBER) |
| Authorized Official Telephone | 2023822579 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QV0200X |
Clinic/Center Specialization: VA |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| SHAVANO PARK VA CBOC | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427671627 | San Antonio Vamc | Clinic/Center | 16019 Nacogdoches Rd Ste 101, San Antonio, TX 78247-1128 | 2020-05-21 |
| 1194180406 | San Antonio Vamc | Clinic/Center | 526 E Court St, Seguin, TX 78155-5712 | 2015-12-31 |
| 1801284161 | San Antonio Vamc | Clinic/Center | 8410 Data Point, San Antonio, TX 78229-3220 | 2015-01-08 |
| 1447294103 | San Antonio Vamc | Clinic/Center | 4318 Woodcock Dr, Ste 120, San Antonio, TX 78228-1321 | 2006-06-15 |
| 1720021983 | San Antonio Vamc | Clinic/Center | 2101 South Colonel Rowe Blvd., Mcallen, TX 78503 | 2006-06-14 |
| 1073552006 | San Antonio Vamc | Clinic/Center | 4610 E Southcross Blvd, Suite 100, San Antonio, TX 78222-4914 | 2006-06-05 |
| 1548207962 | San Antonio Vamc | Clinic/Center | 705 Landa Street, Suite C, New Braunfels, TX 78130-6163 | 2006-06-02 |
| 1720031099 | San Antonio Vamc | Clinic/Center | 302 S Hillside Dr, Spohn Agarita Family Health Clinic, Beeville, TX 78102-5333 | 2006-05-18 |
| 1326090093 | San Antonio Vamc | Clinic/Center | 2525 Loop 431, United Medical Centers, Eagle Pass, TX 78852-3302 | 2006-05-17 |
| 1871551606 | San Antonio Vamc | Department of Veterans Affairs (VA) Pharmacy | 3600 Memorial Blvd, Kerrville, TX 78028-5768 | 2006-05-02 |
| Street Address |
4350 LOCKHILL SELMA RD SUITE 200 |
| City | SAN ANTONIO |
| State | TX |
| Zip Code | 78249-2162 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184222663 | Zachary Mitchell Kimo Mitsui | Specialist/Technologist | 7311 Bluestone Rd, San Antonio, TX 78249 | 2020-10-15 |
| 1538770839 | Go Operations 3 LLC | Skilled Nursing Facility | 4366 Lockhill Selma, Shavano, TX 78249 | 2020-08-11 |
| 1417566548 | Heenaben Jayantilal Rathod | Registered Nurse | 5803 Utsa Blvd, Apt #2101, San Antonio, TX 78249 | 2020-07-24 |
| 1306455530 | Z-pediatrics Pllc | Pediatrics | 5886 Dezavala Rd Suite 101 #510, San Antonio, TX 78249 | 2020-07-23 |
| 1568080497 | San Antonio Wisdom Teeth, Pllc | Dentist | 13535 Hausman Pass #102-a, San Antonio, TX 78249 | 2020-07-07 |
| 1265071203 | Caralyne Sandquist | Physician Assistant | 5510 Presidio Parkway, Building #2 Suite 2401, San Antonio, TX 78249 | 2019-12-21 |
| 1104472935 | Adam J Gordon | Social Worker | 6363 Dezavala Rd, San Antonio, TX 78249 | 2019-08-16 |
| 1336700582 | Michael Leland Post | Specialist/Technologist | 5150 Dezavala, San Antonio, TX 78249 | 2019-06-27 |
| 1043788722 | Stephen John Reynolds | Counselor | 5907 Trent Rnch, San Antonio, TX 78249 | 2018-11-11 |
| 1396211504 | Christina Michelle Morales | Specialist/Technologist | 4533 N Loop 1604 E, Ste 1119, San Antonio, TX 78249 | 2018-10-16 |
| Find all providers in zip 78249 | ||||
| Taxonomy Code | 261QV0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | VA |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427671627 | San Antonio Vamc | Clinic/Center | 16019 Nacogdoches Rd Ste 101, San Antonio, TX 78247-1128 | 2020-05-21 |
| 1801284161 | San Antonio Vamc | Clinic/Center | 8410 Data Point, San Antonio, TX 78229-3220 | 2015-01-08 |
| 1447294103 | San Antonio Vamc | Clinic/Center | 4318 Woodcock Dr, Ste 120, San Antonio, TX 78228-1321 | 2006-06-15 |
| 1073552006 | San Antonio Vamc | Clinic/Center | 4610 E Southcross Blvd, Suite 100, San Antonio, TX 78222-4914 | 2006-06-05 |
| 1003224049 | San Antonio Vamc | Clinic/Center | 4522 Fredericksburg Rd, Suites A-10 and A-88, San Antonio, TX 78201-6521 | 2014-07-22 |
| 1891969655 | Anna H. Heisser, Md, Pa | Clinic/Center | 5788 Eckhert Rd, San Antonio, TX 78240-3900 | 2008-04-14 |
| 1801083142 | San Antonio Vamc | Clinic/Center | 17440 Henderson Pass, San Antonio, TX 78232-1662 | 2007-10-01 |
| 1720034473 | San Antonio Vamc | Clinic/Center | 5788 Eckhert Rd, San Antonio, TX 78240-3900 | 2006-05-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285241711 | Houston Vamc | Clinic/Center | 1327 Lake Pointe Pkwy Ste 520, Sugar Land, TX 77478-4096 | 2020-09-29 |
| 1720605629 | El Paso Vamc | Clinic/Center | 5229 Sanders Ave, El Paso, TX 79924-6409 | 2020-06-26 |
| 1568097491 | El Paso Vamc | Clinic/Center | 1870 Northwestern Drive, El Paso, TX 79912-9998 | 2020-03-11 |
| 1902444607 | El Paso Vamc | Clinic/Center | 350 Revere Street, El Paso, TX 79905-9998 | 2019-12-13 |
| 1982178190 | El Paso Vamc | Clinic/Center | 1250b E Cliff Dr, El Paso, TX 79902-4823 | 2019-01-22 |
| 1508313149 | Dallas Vamc | Clinic/Center | 3804 West 15th Street, Suite 175, Plano, TX 75075-4752 | 2016-09-01 |
| 1194180406 | San Antonio Vamc | Clinic/Center | 526 E Court St, Seguin, TX 78155-5712 | 2015-12-31 |
| 1649645672 | Dallas Vamc | Clinic/Center | 1518 E Lancaster Avenue, Suite A, Fort Worth, TX 76102-6775 | 2015-12-02 |
| 1073998431 | Dallas Vamc | Clinic/Center | 4900 S Lancaster Rd, Dallas, TX 75216-7402 | 2015-07-28 |
| 1629459730 | Dallas Vamc | Clinic/Center | 7916 S Broadway Avenue, Suite 100, Tyler, TX 75703-5275 | 2015-06-15 |
| Find all providers with the same taxonomy | ||||
| City | SAN ANTONIO |
| Zip Code | 78249 |
Please comment or provide details below to improve the information on SAN ANTONIO VAMC.
| 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.