| San Antonio Infectious Diseases Consultants | |
|
8042 Wurzbach Rd Ste 280 San Antonio TX 78229-3863 | |
| (210) 614-8100 | |
| (210) 615-7233 |
| Full Name | San Antonio Infectious Diseases Consultants |
|---|---|
| Speciality | Internal Medicine |
| Location | 8042 Wurzbach Rd Ste 280, San Antonio, Texas |
| Authorized Official Name and Position | Caroline C. Dewitt (MANAGING PARTNER) |
| Authorized Official Contact | 2106148100 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| San Antonio Infectious Diseases Consultants 8042 Wurzbach Rd Ste 280 San Antonio TX 78229-3863 Ph: (210) 614-8100 | San Antonio Infectious Diseases Consultants 8042 Wurzbach Rd Ste 280 San Antonio TX 78229-3863 Ph: (210) 614-8100 |
| NPI Number | 1386634319 |
|---|---|
| Provider Enumeration Date | 10/21/2005 |
| Last Update Date | 10/05/2021 |
| Medicare PECOS PAC ID | 6800871286 |
|---|---|
| Medicare Enrollment ID | O20040621000741 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386634319 | NPI | - | NPPES |
| 160073601 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RI0200X | Internal Medicine - Infectious Disease | (* (Not Available)) | Primary |
| Provider Name | Jeffrey Claiborne Jones |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1003934647 PECOS PAC ID: 5193796696 Enrollment ID: I20040805001042 |
| Provider Name | Kimberly A Moran |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1922209733 PECOS PAC ID: 8527134089 Enrollment ID: I20080906000050 |
| Provider Name | Luis A Cisneros |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1235129263 PECOS PAC ID: 2860528387 Enrollment ID: I20100615000821 |
| Provider Name | Carl M Berkowitz |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1124018163 PECOS PAC ID: 9335124718 Enrollment ID: I20100615000850 |
| Provider Name | Caroline C Dewitt |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1518957547 PECOS PAC ID: 4789710203 Enrollment ID: I20100615000900 |
| Provider Name | Richard J Fetchick |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1134119183 PECOS PAC ID: 7214063734 Enrollment ID: I20100616000122 |
| Provider Name | Nicolas A Melgarejo |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1386882520 PECOS PAC ID: 6709073711 Enrollment ID: I20101202001147 |
| Provider Name | Suthep Arora |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1750564068 PECOS PAC ID: 9234307422 Enrollment ID: I20110713000631 |
| Provider Name | Duane R Hospenthal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013907831 PECOS PAC ID: 3476700865 Enrollment ID: I20130227000394 |
| Provider Name | David O Chee |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1467680405 PECOS PAC ID: 1052628740 Enrollment ID: I20150912000062 |
| Provider Name | Gemma A Berlanga |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1962798355 PECOS PAC ID: 7214223718 Enrollment ID: I20160909000756 |
| Provider Name | Elaine Cisneros |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952773442 PECOS PAC ID: 4880954445 Enrollment ID: I20180131000628 |
| Provider Name | Robert Horacio Delgadillos |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417500471 PECOS PAC ID: 0446687461 Enrollment ID: I20200303001309 |
| Provider Name | Gino Tapia-zegarra |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1457466724 PECOS PAC ID: 7810992971 Enrollment ID: I20200521002407 |
| Provider Name | Lorraine Nombrano |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043827256 PECOS PAC ID: 4587071667 Enrollment ID: I20210408000766 |
| Provider Name | Annalisa Cristina Samano |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285272286 PECOS PAC ID: 4981012036 Enrollment ID: I20210409001557 |
| Provider Name | Jose Alejandro Coba |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1861847485 PECOS PAC ID: 8325330236 Enrollment ID: I20210506000524 |
| Provider Name | Tiffany Lopez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790459212 PECOS PAC ID: 6901203140 Enrollment ID: I20210930001270 |
| Provider Name | Michael A Forgione |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1992853741 PECOS PAC ID: 9739312778 Enrollment ID: I20230710002427 |
| Provider Name | Anna Sikora |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1841776283 PECOS PAC ID: 2062872385 Enrollment ID: I20230718004384 |
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 | |
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