CANCER CARE NETWORK OF SOUTH TEXAS PA (NPI# 1972762284) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972762284 |
| Entity Type | Organization |
| Organization Name | CANCER CARE NETWORK OF SOUTH TEXAS PA |
| Other Organization Name | NECANCER CENTER RADIOLOGY SATBC |
| Practice Address |
2130 Ne Loop 410 Suite 100 San Antonio TX 78217-4659 |
| Mailing Address |
100 Ne Loop 410 Suite 600 San Antonio TX 78216-4700 |
| Practice Telephone | 2106567177 |
| Practice Fax Number | 2106563687 |
| Mailing Telephone | 2102426541 |
| Mailing Fax Number | 2102125136 |
| Enumeration Date | 2008-06-03 |
| Last Update Date | 2011-10-27 |
| Authorized Official Name | DR. DAVID H GORDON (PRESIDENT) |
| Authorized Official Telephone | 2106567177 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2085R0203X |
Radiology Specialization: Therapeutic Radiology |
Allopathic & Osteopathic Physicians | ||
| Y | 2085R0001X |
Radiology Specialization: Radiation Oncology |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 109514302 | 05 | |
| TX | BLUECROSS/BLUESHIELD TX. | 00U40Q | 01 |
| Other Name | Type Code |
|---|---|
| NECancer Center Radiology SATBC | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316198443 | Cancer Care Network of South Texas Pa | Internal Medicine | 1340 E Walnut St, Ste. 1348, Seguin, TX 78155-5126 | 2008-10-07 |
| 1851542971 | Cancer Care Network of South Texas Pa | Internal Medicine | 1448 E. Common St., New Braunfels, TX 78130-3162 | 2008-10-07 |
| 1841441961 | Cancer Care Network of South Texas Pa | Internal Medicine | 4411 Medical Drive, Ste. 100, San Antonio, TX 78229-3832 | 2008-10-07 |
| 1881845162 | Cancer Care Network of South Texas Pa | Internal Medicine | 606 31st St, Hondo, TX 78861-3512 | 2008-10-06 |
| 1942486964 | Cancer Care Network of South Texas Pa | Internal Medicine | 2130 N.e. Loop 410, Suite #100, San Antonio, TX 78217-4660 | 2008-01-22 |
| 1801913462 | Cancer Care Network of South Texas Pa | Internal Medicine | 1100 Mission Hills, #200, Marble Falls, TX 78654 | 2007-03-26 |
| 1619023355 | Cancer Care Network of South Texas Pa | Internal Medicine | 715 Fm 1431e, Marble Falls, TX 78654 | 2007-01-26 |
| 1225064603 | Cancer Care Network of South Texas Pa | Internal Medicine | 100 Ne Loop 410, Suite # 600, San Antonio, TX 78216-4700 | 2006-06-25 |
| 1841513256 | Cancer Care Network of South Texas Pa | Internal Medicine | 5000 Baptist Health Dr, Ste. 116, Schertz, TX 78154-1193 | 2010-03-12 |
| 1336390269 | Cancer Care Network of South Texas Pa | Internal Medicine | 4411 Medical Drive, Ste. 100, San Antonio, TX 78229-3832 | 2008-10-09 |
| Street Address |
2130 NE LOOP 410 SUITE 100 |
| City | SAN ANTONIO |
| State | TX |
| Zip Code | 78217-4659 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447298591 | Holger E.i. Skerhut | Neurological Surgery | 2130 Ne Loop 410, Ste 230, San Antonio, TX 78217-4659 | 2006-06-02 |
| 1013378488 | Steven G Rosenblatt Md Pllc | Internal Medicine | 2130 Ne Loop 410, Suite 250, San Antonio, TX 78217-4659 | 2016-03-14 |
| 1013204361 | Graham Family Dentistry | Dentist | 2130 Ne Loop 410, Ste. 225, San Antonio, TX 78217-4659 | 2011-07-07 |
| 1073725693 | Marquel Renee Mccabe | Dentist | 2130 Ne Loop 410, Suite 225, San Antonio, TX 78217-4659 | 2007-05-04 |
| 1902939358 | Brittany Michele Altermatt | Nurse Practitioner | 2130 Ne Loop 410, Ste. 100, San Antonio, TX 78217-4659 | 2007-03-14 |
| 1902908007 | Cancer Care Network of South Texas Pa | Internal Medicine | 2130 Ne Loop 410, Suite# 100, San Antonio, TX 78217-4659 | 2006-09-01 |
| 1629097183 | Robert Wesley Graham | Dentist | 2130 Ne Loop 410, Suite 225, San Antonio, TX 78217-4659 | 2006-07-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699390278 | Nadia Sanchez De Ramos | Counselor | 10615 Perrin Veitle, Ste. 402, San Antonio, TX 78217 | 2020-06-10 |
| 1104455518 | Lamonica Shantae Armond | Counselor | 4035 Narco Perrin Blvd Ste 2030, San Antonio, TX 78217 | 2020-04-07 |
| 1487282414 | Debra Pitts | Counselor | 10605 Perrin Beitel Rd, Suite 801, San Antonio, TX 78217 | 2020-03-27 |
| 1083241129 | Jena Lalley | Nurse Practitioner | 8723 Botts Lane, San Antonio, TX 78217 | 2020-03-26 |
| 1699307173 | Kingdom Outreach Center of San Antonio, Tx | Counselor | Kingdom Out Reach Center of San Antonio, 3819 Naco Perrin Blvd #118, San Antonio, TX 78217 | 2020-02-12 |
| 1881224277 | Tinyada Robinson | Recreation Therapist | 1777 Ne Interstate 410 Loop, Ste 1009, San Antonio, TX 78217 | 2020-01-24 |
| 1255996815 | Chelsey Lynn Guy | Dental Hygienist | 10231 Kotzebue St., San Antonio, TX 78217 | 2019-05-08 |
| 1972069144 | Emma Getic | Behavioral Analyst | 2391 Ne Interstate 410 Loop, Suite #304, San Antonio, TX 78217 | 2019-02-13 |
| 1487133781 | Rebecca Rendon | Registered Nurse | 8610 N. New Braunfels Ave, Ste. 405, San Antonio, TX 78217 | 2018-08-08 |
| 1326526922 | Charlene Michelle Turner | Registered Nurse | 8620 N New Braunfels Ave, #700, San Antonio, TX 78217 | 2018-08-06 |
| Find all providers in zip 78217 | ||||
| Taxonomy Code | 2085R0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Radiation Oncology |
| A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962860221 | Urology San Antonio, P.a. | Radiology | 7718 Pasteur Dr, San Antonio, TX 78229-3402 | 2016-02-02 |
| 1225238215 | Richard (rick) Lynn Crownover | Radiology | 7979 Wurzbach Rd Fl 2, San Antonio, TX 78229-4427 | 2007-07-19 |
| 1861412348 | Ardow Richard Ameduri Jr. | Radiology | 4383 Medical Drive, San Antonio, TX 78229-3307 | 2006-07-20 |
| 1164450581 | Michael Anthony Selva | Radiology | 7718 Louis Pasteur Ct, San Antonio, TX 78229-3442 | 2006-06-28 |
| 1073551420 | Timothy Wayne Dziuk | Radiology | 2130 Ne Loop 410 Ste 100, San Antonio, TX 78217-4660 | 2006-06-04 |
| 1992769137 | Suresh V Dutta | Radiology | 1010 Nw Loop 410, Suite 100d, San Antonio, TX 78213-2220 | 2006-04-14 |
| 1184608739 | Kimberly D. Stewart | Radiology | 215 E Quincy St Bsmt B100, San Antonio, TX 78215-2031 | 2005-12-06 |
| 1639580756 | Jennifer Caitlin Lee | Radiology | 5206 Research Dr, San Antonio, TX 78240-5251 | 2014-05-12 |
| 1790128783 | Mohamad Hassan Fakhreddine | Radiology | 7979 Wurzbach Rd Fl 2, San Antonio, TX 78229 | 2013-04-09 |
| 1144530353 | San Antonio Rt Associates LLC | Radiology | 9102 Floyd Curl Dr, San Antonio, TX 78240-1553 | 2010-10-21 |
| Find all providers in SAN ANTONIO | ||||
| City | SAN ANTONIO |
| Zip Code | 78217 |
Please comment or provide details below to improve the information on CANCER CARE NETWORK OF SOUTH TEXAS PA.
| 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.