Kristie A. Chiscano, M.D.

Primary specialty

Colon & Rectal Surgery PhysicianTaxonomy code 208C00000X

License

L8648 Issued in TX

Practice address

315 N San Saba
Suite 1240
San Antonio, TX 78207-3154

Phone

(210) 212-4114

Fax

(210) 212-4012

NPI assigned

Jul 26, 2005

Reactivated

Apr 27, 2006

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Acm Colon and Rectal Associates PLLC

  • Colon & Rectal Surgery Physician
  • San Antonio, TX
  • NPI 1841545720
  NPD (past)
• Jaime L Mayoral MD PA

  • Colon & Rectal Surgery Physician
  • San Antonio, TX
  • NPI 1457384158
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1122336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1237334400000",
    "number": "1366442048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 596",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782920596",
            "telephone_number": "210-212-4114",
            "fax_number": "210-212-4012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 N SAN SABA",
            "address_2": "SUITE 1240",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782073154",
            "telephone_number": "210-212-4114",
            "fax_number": "210-212-4012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHISCANO",
        "first_name": "KRISTIE",
        "middle_name": "A.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-26",
        "last_updated": "2009-03-18",
        "deactivation_date": "2006-03-21",
        "reactivation_date": "2006-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208C00000X",
            "taxonomy_group": "",
            "desc": "Colon & Rectal Surgery",
            "state": "TX",
            "license": "L8648",
            "primary": true
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "TX",
            "license": "L8648",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "170376101",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sumana Chintapalli
• Tochukwu Linus Chiobi, PHARM D
• Laura K Chiodo, M.D.
• Travis B Chipman
• Chirosystems,PA
• Renee Christine Chisum, FNP
• Pranati Chitta
• Celia Chittananonh
• Paige Chittenden
• Devlynn Chlebowy, PHARMD

• Colon & Rectal Surgery Physician in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Colon & Rectal Surgery Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.