RIVER CITY PEDIATRIC EMERGENCY PHYSICIANS, PLLC (NPI# 1972816692) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972816692 |
| Entity Type | Organization |
| Organization Name | RIVER CITY PEDIATRIC EMERGENCY PHYSICIANS, PLLC |
| Practice Address |
520 Madison Oak Dr San Antonio TX 78258-3913 |
| Mailing Address |
Po Box 11180 Westminster CA 92685-1180 |
| Practice Telephone | 2102974650 |
| Mailing Telephone | 5624680227 |
| Mailing Fax Number | 5629245830 |
| Enumeration Date | 2010-07-22 |
| Last Update Date | 2010-07-22 |
| Authorized Official Name | TIMOTHY N TAYLOR (AUTHORIZED OFFICIAL) |
| Authorized Official Telephone | 2104959860 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207PP0204X |
Emergency Medicine Specialization: Pediatric Emergency Medicine |
Allopathic & Osteopathic Physicians |
| Street Address |
520 MADISON OAK DR |
| City | SAN ANTONIO |
| State | TX |
| Zip Code | 78258-3913 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033182977 | Sandra R Aviles | Pediatrics | 520 Madison Oak Dr, San Antonio, TX 78258-3913 | 2006-02-10 |
| 1073134151 | Farahnaz Shafiey | Anesthesiologist Assistant | 520 Madison Oak Dr, San Antonio, TX 78258-3913 | 2020-04-30 |
| 1316401326 | Russell Aaron Bryan | Nurse Practitioner | 520 Madison Oak Dr, San Antonio, TX 78258-3912 | 2019-01-23 |
| 1861977464 | Jennifer Kay Nagel | Registered Nurse | 520 Madison Oak Dr, San Antonio, TX 78258-3912 | 2018-09-28 |
| 1538676838 | Omurkan Mira Finley | Nurse Practitioner | 520 Madison Oak Dr, San Antonio, TX 78258-3913 | 2018-01-08 |
| 1548631690 | Bve Group Pllc | Anesthesiology | 520 Madison Oak Dr, San Antonio, TX 78258-3913 | 2015-10-15 |
| 1104219781 | Pediatric Inpatient Critical Care Services Pa | Pediatrics | 520 Madison Oak Dr, San Antonio, TX 78258-3913 | 2015-03-06 |
| 1629203195 | Esmeralda Lugo | Internal Medicine | 520 Madison Oak Dr, San Antonio, TX 78258-3913 | 2009-05-27 |
| 1831341189 | Suneetha Muthyala | Internal Medicine | 520 Madison Oak Dr, North Central Baptist Hospital, San Antonio, TX 78258-3913 | 2008-10-17 |
| 1386802833 | Arsen M Zacharian | Internal Medicine | 520 Madison Oak Dr, San Antonio, TX 78258-3913 | 2008-05-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356980163 | Jeffrey M. Martinez, M.d., P.a. | Surgery | 525 Centre Oak Drive, Suite 140, San Antonio, TX 78258 | 2019-12-26 |
| 1588226211 | New Life Brace and Limb, LLC | Prosthetist | 300 E. Sonterra Blvd., Suite 220, San Antonio, TX 78258 | 2019-07-02 |
| 1720649080 | Miguel Ibarra | Pharmacist | 18866 Stone Oak Pkwy., St.101, San Antonio, TX 78258 | 2019-06-26 |
| 1528538113 | Kevin Scott Farnsworth | Dentist | 1130 E. Sonterra Blvd Suite 100, San Antonio, TX 78258 | 2018-11-27 |
| 1891262176 | Dentists of Stone Oak, PC | Dentist | 23714 Hardy Oak Blvd, Suite 110, San Antonio, TX 78258 | 2018-10-25 |
| 1003399437 | Jesus Alcala | Physical Therapist | 20821 Us Hwy 281 N, Ste 110, San Antonio, TX 78258 | 2018-09-11 |
| 1184106544 | Marissa Kaye Bruton | Occupational Therapist | 505 Madison Oak, San Antonio, TX 78258 | 2018-09-02 |
| 1508346933 | Desiree Carroll | Occupational Therapy Assistant | 18803 Hardy Oak Drive, San Antonio, TX 78258 | 2018-08-15 |
| 1700376456 | Conner Jay Mcnabb | Optometrist | 810 Knights Cross Dr Ste 101, San Antonio, TX 78258 | 2018-05-17 |
| 1982191516 | Freehand Solutions LLC | Chiropractor | Nec Stone Oak Parkway & Loop 1604, San Antonio, TX 78258 | 2018-04-19 |
| Find all providers in zip 78258 | ||||
| Taxonomy Code | 207PP0204X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| Specialization | Pediatric Emergency Medicine |
| Pediatric Emergency Medicine is a clinical subspecialty that focuses on the care of the acutely ill or injured child in the setting of an emergency department. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/ Board certification is provided by the American Board of Emergency Medicine. Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356313126 | Esteban R Lopez | Emergency Medicine | 520 Madison Oak, North Central Baptist Children's Emergency Department, San Antonio, TX 78258-3913 | 2006-02-06 |
| 1528323797 | Robert James Stewart | Emergency Medicine | 7700 Floyd Curl Dr, San Antonio, TX 78229 | 2012-07-12 |
| 1164688966 | Olutola O. Adetona | Emergency Medicine | 9480 Huebner Rd, Suite 400, San Antonio, TX 78240-1655 | 2008-07-31 |
| 1023283637 | Robert Sanders | Emergency Medicine | 903 W Martin St, San Antonio, TX 78207 | 2008-04-24 |
| 1063615888 | Becky C Doran | Emergency Medicine | 333 N Santa Rosa St, San Antonio, TX 78207-3108 | 2007-06-08 |
| 1659391878 | Serena L Phillips | Emergency Medicine | 8401 Datapoint Dr, Suite 500, San Antonio, TX 78229-5900 | 2006-07-20 |
| 1669415642 | Gerald Thomas Mayer | Emergency Medicine | 19223 Stonehue, San Antonio, TX 78258-3456 | 2006-06-14 |
| 1316989353 | John Joseph Fraser Jr. | Emergency Medicine | 11398 Bandera Rd Ste 201, San Antonio, TX 78250-6827 | 2006-06-12 |
| 1144270786 | Maria Suzanne Johnson | Emergency Medicine | 333 N Santa Rosa St, San Antonio, TX 78207-3108 | 2006-05-12 |
| 1508814385 | Emergency Pediatric Physician Mgmt LLC | Emergency Medicine | 520 Madison Oak, Peds - Emergency Room, San Antonio, TX 78258-3913 | 2006-05-04 |
| Find all providers in SAN ANTONIO | ||||
| City | SAN ANTONIO |
| Zip Code | 78258 |
Please comment or provide details below to improve the information on RIVER CITY PEDIATRIC EMERGENCY PHYSICIANS, PLLC.
| 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.