METHODIST MEDICAL GROUP, PLLC (NPI# 1982979605) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982979605 |
| Entity Type | Organization |
| Organization Name | METHODIST MEDICAL GROUP, PLLC |
| Practice Address |
8109 Fredericksburg Rd Physician Practice Services San Antonio TX 78229-3311 |
| Practice Telephone | 2105750254 |
| Practice Fax Number | 2105750167 |
| Mailing Telephone | 2105750254 |
| Mailing Fax Number | 2105750167 |
| Enumeration Date | 2012-03-13 |
| Last Update Date | 2012-03-14 |
| Authorized Official Name | MRS. ROBERTA S CLOUD (VICE PRESIDENT) |
| Authorized Official Telephone | 2105758505 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RI0011X |
Internal Medicine Specialization: Interventional Cardiology |
Allopathic & Osteopathic Physicians | ||
| N | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians | ||
| N | 207RC0001X |
Internal Medicine Specialization: Clinical Cardiac Electrophysiology |
Allopathic & Osteopathic Physicians | ||
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
Allopathic & Osteopathic Physicians |
| Street Address |
8109 FREDERICKSBURG RD PHYSICIAN PRACTICE SERVICES |
| City | SAN ANTONIO |
| State | TX |
| Zip Code | 78229-3311 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093710758 | Teresita Mouret Brothers | Psychiatry & Neurology | 8109 Fredericksburg Rd, San Antonio, TX 78229-3311 | 2005-06-17 |
| 1154661973 | Laci L Reynolds | Occupational Therapist | 8109 Fredericksburg Rd, San Antonio, TX 78229-3311 | 2013-02-15 |
| 1598093395 | Sasha Delores Baez | Technician, Pathology | 8109 Fredericksburg Rd, San Antonio, TX 78229-3311 | 2009-12-07 |
| 1104075001 | William Earl Tudor | Nurse Practitioner | 8109 Fredericksburg Rd, San Antonio, TX 78229-3311 | 2008-09-16 |
| 1831236371 | Emanuel Philip Denoia | Specialist | 8109 Fredericksburg Rd, Suite 300, San Antonio, TX 78229-3311 | 2007-02-01 |
| 1477661023 | Mary Margaret Brackley | Nurse Practitioner | 8109 Fredericksburg Rd, Psychiatric Consultation Services, San Antonio, TX 78229-3311 | 2006-08-25 |
| 1275582504 | Methodist Inpatient Management Group | Internal Medicine | 8109 Fredericksburg Rd, San Antonio, TX 78229-3311 | 2006-05-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245857226 | Lyndsey A Sandoval | Optometrist | 7400 Minton Miner St, San Antonio, TX 78229 | 2020-06-25 |
| 1295355311 | Nicolet Finger | Student in an Organized Health Care Education/Training Program | 7703 Floyd Curl Drive, Mc 7798, San Antonio, TX 78229 | 2020-04-18 |
| 1215557400 | Amy Elizabeth Werry | Clinical Neuropsychologist | 7703 Floyd Circle Drive, San Antonio, TX 78229 | 2020-04-17 |
| 1740822972 | Mohammad Safaie Yazdi | Student in an Organized Health Care Education/Training Program | Ut Health Science Center At San Antonio- Agdc, 8210 Floyd Curl Dr., Msc 8103, San Antonio, TX 78229 | 2019-10-09 |
| 1063053072 | Blas Edward Villa | Nurse Practitioner | 7703 Floyd Curl Drive Mc 7885 Pulmonary Diseases & Crit, Medicine, San Antonio, TX 78229 | 2019-10-01 |
| 1124673942 | Integrity Dme Services LLC | Durable Medical Equipment & Medical Supplies | 6323 Sovereign Dr, Suite # 170 Ab, San Antonio, TX 78229 | 2019-08-08 |
| 1730734120 | Marisa Erin Leyden | Speech-Language Pathologist | Joe R. & Teresa Lozano Long Campus, 7703 Floyd Curl Dr., San Antonio, TX 78229 | 2019-08-03 |
| 1285295741 | Alireza Ghezavati | Student in an Organized Health Care Education/Training Program | 7703 Floyd Curl Drive Mc 7750, Department of Pathology and Laboratory Medicine, San Antonio, TX 78229 | 2019-06-25 |
| 1407410285 | Denae Cheyenne Rushing | Student in an Organized Health Care Education/Training Program | 8201 Floyd Curl Drive, San Antonio, TX 78229 | 2019-04-26 |
| 1265993570 | Shehzad Amlani | Student in an Organized Health Care Education/Training Program | Address: 7703 Floyd Curl Dr, San Antonio, TX 78229 | 2019-03-28 |
| Find all providers in zip 78229 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184098279 | Heart Endovascular and Rhythm of Texas, Pa | Internal Medicine | 1202 E Sonterra Blvd Ste 604, San Antonio, TX 78258-4093 | 2015-11-30 |
| 1780058040 | Advanced Cardiac Imaging Solutions, Pllc | Internal Medicine | 13423 Blanco Road #437, San Antonio, TX 78216 | 2015-11-23 |
| 1215329602 | Ricardo A Garza Md Pllc | Internal Medicine | 6800 W Ih 10 West, Suite 110, San Antonio, TX 78201-2039 | 2015-02-23 |
| 1003205873 | Heart and Rhythm Institute of South Texas, Pa | Internal Medicine | 8122 Datapoint Dr Ste 120, San Antonio, TX 78229-3264 | 2015-01-16 |
| 1205181674 | Michael Jose Cavazos | Internal Medicine | 1100 Mccullough Ave Ste 300, San Antonio, TX 78212 | 2012-07-20 |
| 1326342015 | B.s.athreya,m.d.,p.a.& Associates | Internal Medicine | 215 E Quincy St Ste 430, San Antonio, TX 78215-2034 | 2011-01-10 |
| 1093034654 | South Texas Cardiology Institute, Pllc | Internal Medicine | 6800 Ih 10 W Ste 200, San Antonio, TX 78201-2041 | 2010-05-21 |
| 1164604294 | Chun Wang Tan Md Pa | Internal Medicine | 323 W Mulberry Ave, San Antonio, TX 78212-3236 | 2007-11-30 |
| 1851573844 | Rushit R. Kanakia | Internal Medicine | 1715 Mccullough Ave Fl 2, San Antonio, TX 78212-4046 | 2007-11-30 |
| 1336337880 | R. Stefan Kiesz M.d. P.a. | Internal Medicine | 18615 Tuscan Stone, Suite 170, San Antonio, TX 78258-3498 | 2007-10-10 |
| Find all providers in SAN ANTONIO | ||||
| City | SAN ANTONIO |
| Zip Code | 78229 |
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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.