| Diabetes And Glandular Disease Clinic Pa | |
|
5107 Medical Dr San Antonio TX 78229 | |
| (210) 614-8612 | |
| (210) 615-5596 |
| Full Name | Diabetes And Glandular Disease Clinic Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 5107 Medical Dr, San Antonio, Texas |
| Authorized Official Name and Position | Jacob Vadakekalam (PRESIDENT) |
| Authorized Official Contact | 2106155541 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Diabetes And Glandular Disease Clinic Pa 5107 Medical Dr San Antonio TX 78229 Ph: (210) 614-8612 | Diabetes And Glandular Disease Clinic Pa 5107 Medical Dr San Antonio TX 78229 Ph: (210) 614-8612 |
| NPI Number | 1427166305 |
|---|---|
| Provider Enumeration Date | 08/29/2006 |
| Last Update Date | 06/09/2022 |
| Medicare PECOS PAC ID | 3375443930 |
|---|---|
| Medicare Enrollment ID | O20040110000006 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427166305 | NPI | - | NPPES |
| 121762202 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | (* (Not Available)) | Primary |
| Provider Name | Stacie Kathleen Haller |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1528176526 PECOS PAC ID: 1850371162 Enrollment ID: I20040726000467 |
| Provider Name | Phillip W Kostroun |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1003924002 PECOS PAC ID: 0143253708 Enrollment ID: I20050914000510 |
| Provider Name | Mark S Kipnes |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1376501965 PECOS PAC ID: 8921007303 Enrollment ID: I20061212000591 |
| Provider Name | Jerome S Fischer |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1083672679 PECOS PAC ID: 2466451844 Enrollment ID: I20061212000608 |
| Provider Name | Amna A Salhin |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1790741726 PECOS PAC ID: 9133128473 Enrollment ID: I20061213000536 |
| Provider Name | Jacob Vadakekalam |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1316904139 PECOS PAC ID: 4587551767 Enrollment ID: I20061213000564 |
| Provider Name | William F Trigoso |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1952368706 PECOS PAC ID: 9739188079 Enrollment ID: I20061213000576 |
| Provider Name | Firas Akhrass |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1487636205 PECOS PAC ID: 1557373040 Enrollment ID: I20070516000321 |
| Provider Name | Vijayveer S Pamar |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1407853963 PECOS PAC ID: 0941113906 Enrollment ID: I20080722000053 |
| Provider Name | Sheila M Calumpiano |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306173067 PECOS PAC ID: 8820138449 Enrollment ID: I20091211000614 |
| Provider Name | Joseph P Tiscani |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013246834 PECOS PAC ID: 1951446558 Enrollment ID: I20100308000295 |
| Provider Name | Andrea Milam |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104152826 PECOS PAC ID: 1850428798 Enrollment ID: I20100423000550 |
| Provider Name | Tina M Copple |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568676500 PECOS PAC ID: 2668504689 Enrollment ID: I20100709000450 |
| Provider Name | Lisa A Mclaughlin-contreras |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467608547 PECOS PAC ID: 3971635947 Enrollment ID: I20100712000083 |
| Provider Name | Carisse M Orsi |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1235313073 PECOS PAC ID: 0143344135 Enrollment ID: I20100827000191 |
| Provider Name | Lauren Ann Pankratz |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1568675726 PECOS PAC ID: 2365620853 Enrollment ID: I20110705000464 |
| Provider Name | Ann Marie Straight |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1740244045 PECOS PAC ID: 7719151257 Enrollment ID: I20111121000121 |
| Provider Name | Mahendra Ghanta |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1861656548 PECOS PAC ID: 3870764582 Enrollment ID: I20140919001656 |
| Provider Name | Kindra J Clark |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558765727 PECOS PAC ID: 1658693809 Enrollment ID: I20141125002132 |
| Provider Name | Candace N Cunningham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447628011 PECOS PAC ID: 5395049365 Enrollment ID: I20160909001332 |
| Provider Name | Suzanne M Kelley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689931180 PECOS PAC ID: 6002034147 Enrollment ID: I20170228001038 |
| Provider Name | Diana V Huckaby |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902355977 PECOS PAC ID: 1456636687 Enrollment ID: I20170330000202 |
| Provider Name | Renee Christine Chisum |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568967008 PECOS PAC ID: 4284997644 Enrollment ID: I20180417001733 |
| Provider Name | Stephen A. Cavazos |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609364447 PECOS PAC ID: 4981950136 Enrollment ID: I20180702002293 |
| Provider Name | Emy Carol Apruzzese |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942741582 PECOS PAC ID: 6507112323 Enrollment ID: I20180710001832 |
| Provider Name | Kelly Lynn Nunemaker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629567896 PECOS PAC ID: 0042567224 Enrollment ID: I20180718003889 |
| Provider Name | Ameer Khowaja |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366672701 PECOS PAC ID: 0941426613 Enrollment ID: I20190218000157 |
| Provider Name | Maricruz Arzeta-francisco |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184124604 PECOS PAC ID: 8123360112 Enrollment ID: I20190423000679 |
| Provider Name | William G Weiss |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447724927 PECOS PAC ID: 8729320403 Enrollment ID: I20190429002010 |
| Provider Name | Kalicia C Christie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033775572 PECOS PAC ID: 3375877426 Enrollment ID: I20190625000589 |
| Provider Name | Marissa S Leal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265071260 PECOS PAC ID: 2062849664 Enrollment ID: I20200220000968 |
| Provider Name | Malina J Regalado |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326691114 PECOS PAC ID: 2264862622 Enrollment ID: I20200427000582 |
| Provider Name | Tina D Holley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891208377 PECOS PAC ID: 1153748405 Enrollment ID: I20200901001178 |
| Provider Name | Nancy Chavez Coleman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720666126 PECOS PAC ID: 0547659245 Enrollment ID: I20211118002348 |
| Provider Name | Brandon Lunsford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154085819 PECOS PAC ID: 4082094065 Enrollment ID: I20220708000070 |
| Provider Name | Febbie Phiri |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437818101 PECOS PAC ID: 1759761463 Enrollment ID: I20220712000173 |
| Provider Name | Delia S Perez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962139345 PECOS PAC ID: 1951785930 Enrollment ID: I20220825002576 |
| Provider Name | Teresa W Kimotho |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780300319 PECOS PAC ID: 0547630667 Enrollment ID: I20230106001795 |
| Provider Name | Robin Butcher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982330288 PECOS PAC ID: 4082861158 Enrollment ID: I20230828002785 |
| Provider Name | Douglas Michael Dalke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104507656 PECOS PAC ID: 7416302930 Enrollment ID: I20231018001171 |
| Provider Name | Priscilla Waiying Ching |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487315263 PECOS PAC ID: 1456702216 Enrollment ID: I20240105003894 |
Texas Bariatric Specialist Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 8038 Wurzbach Rd # 650b, San Antonio, TX 78229 Phone: 713-464-7555 Fax: 713-464-0219 | |
Doctor At Your Service Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4242 Medical Dr, Suite 6250, San Antonio, TX 78229 Phone: 210-479-3297 Fax: 210-479-3295 | |
Alexis Wiesenthal Md Pa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 8038 Wurzbach Rd Ste 320, San Antonio, TX 78229 Phone: 210-614-3365 | |
R Family Medical Group, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3110 Nogalitos, Suite 105, San Antonio, TX 78225 Phone: 210-533-0257 Fax: 210-531-9488 | |
Communicare Health Centers Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1200 Brooklyn Ave Ste 300, San Antonio, TX 78212 Phone: 210-225-5930 Fax: 210-476-0246 | |
Insulin Rounds P A Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 12951 Huebner Rd, #780355, San Antonio, TX 78278 Phone: 210-862-5506 | |
Omni Vision Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 9218 Potranco Rd, Suite 105, San Antonio, TX 78251 Phone: 832-331-9831 Fax: 210-855-8365 |