Greater Sa House Calls, LLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

GREATER SA HOUSE CALLS, LLC

Practice address

5309 Wurzbach Rd Ste 106
San Antonio, TX 78238-2431

Phone

(210) 647-4671

Fax

(210) 647-7552

NPI assigned

Dec 15, 2009

Organization subpart

No

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

Authorized official

Name

Mr. Ughanmwan Tokunbor Efeovbokhan, GNPNPI 1649387630

Title

Owner

Phone

(210) 789-1274

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ughanmwan Efeovbokhan, NP

  • Gerontology Nurse Practitioner
  • Windcrest, TX
  • NPI 1649387630
  Medicare reassignment Authorized official
• Justo Cisneros, MD

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • San Antonio, TX
  • NPI 1427168061
  Medicare reassignment NPD
• Kasey Ann Frye, FNP, DC

  • Family Nurse Practitioner
  • San Antonio, TX
  • NPI 1609058908
  Medicare reassignment NPD
• Juliet Makena Gatobu, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Austin, TX
  • NPI 1245711050

  Gerontology

  Medicare reassignment NPD
• Elizabeth Jo Sparkman, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • San Antonio, TX
  • NPI 1548645047

  Family

  Medicare reassignment NPD
• Laura Rayburn, DNP, FNP-BC

  • Primary Care Nurse Practitioner
  • Fort Sam Houston, TX
  • NPI 1487225587
  NPD (past)

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

{
    "created_epoch": "1260835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647907200000",
    "number": "1669701959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9531 AUTUMN BREEZE",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782541969",
            "telephone_number": "210-647-4671",
            "fax_number": "210-647-7552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5309 WURZBACH RD STE 106",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782382431",
            "telephone_number": "210-647-4671",
            "fax_number": "210-647-7552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREATER SA HOUSE CALLS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-15",
        "last_updated": "2022-03-22",
        "certification_date": "2022-03-22",
        "status": "A",
        "authorized_official_last_name": "EFEOVBOKHAN",
        "authorized_official_first_name": "UGHANMWAN",
        "authorized_official_middle_name": "TOKUNBOR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "210-789-1274",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "GNP"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Gerontology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Melany Greathouse

• Family Nurse Practitioner in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.