Advanced Clinician, Multispecialty Clinical Consultant Services, PLLC
Organization Active NPI Acute Care Nurse Practitioner · San Antonio, TX
NPI 1679908602 · NPPES record last updated Mar 22, 2022
Key facts
- NPI
- 1679908602
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Acute Care Nurse Practitioner 363LA2100X
- License
- 697419 (TX)
- Legal business name
- ADVANCED CLINICIAN, MULTISPECIALTY CLINICAL CONSULTANT SERVICES, PLLC
- Practice address
- 5101 Medical Dr
San Antonio, TX 78229-4801 - Phone
- (210) 802-1661
- NPI assigned
- Sep 10, 2013
- Organization subpart
- No
Authorized official
- Name
- Mr. Jose A. Ramos, APRN, ACNP
- Title
- Ceo
- Phone
- (832) 264-0756
Practitioners 31
-
Kimberly Fay Alspaugh, FNP-BC
-
Grace Param Canlapan, FNP
-
Crystal Falco, NP-C
-
Adrienne Renee Garcia, ACNP
-
Molly Marie Hartmann, M.D.
-
April Louise Lumpkins, AGACNP-BC
-
Raul Armando Macchia, DNP
-
Keri McPhail, NP
-
Hailey Nhung Nguyen, AG-CNS
-
Brian Ramos, FNP
-
Jo Anna Ramos, NP-C
-
Jose Angel Ramos, ACNP
-
Khan Z Shirani, MD, MS, MPH, MBA
-
John L Baeke, M.D.
-
Mark Glynn Davies, M.D.
-
Kristy Salaz Garza, FNP
-
Christina Gonzalez, AG-ACNP
-
Ben Luong, MD
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20150720002173 | TX | Part B Supplier - Clinic/Group Practice | 5597078550 |
Receives reassigned benefits from 30 practitioners Practice locations: San Antonio, TX |
National Provider Directory
Locations
17503 La Cantera Pkwy
#104404
San Antonio, TX 78257
Phone (210) 802-1661
17503 La Cantera Pkwy
Ste 104404
San Antonio, TX 78257
5101 Medical Dr
Fl 3
San Antonio, TX 78229
Phone (210) 592-5349
19338 Babcock Rd
Ste 108
San Antonio, TX 78255
5101 Medical Dr
#3
San Antonio, TX 78229
2819 NW Loop 410
Ste E
San Antonio, TX 78230
Phone (210) 239-7598
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acute Care Nurse Practitioner |
363LA2100X | 697419 | TX | Yes |
Addresses
Primary practice location
5101 Medical Dr
San Antonio, TX 78229-4801
Mailing address
17503 La Cantera Pkwy # 104-404
San Antonio, TX 78257-8207
Phone (210) 802-1661
Other names
- Advanced Clinician
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All providers in San Antonio, TX · Acute Care Nurse Practitioner in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 22, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.