Robert A. Marciniak, M.D.
Individual provider Active NPI Medical Oncology Physician · San Antonio, TX
NPI 1700889201 · NPPES record last updated Aug 18, 2010
Key facts
- NPI
- 1700889201
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Medical Oncology Physician 207RX0202X
- License
- L3005 (TX)
- Practice address
- 7979 Wurzbach Rd
San Antonio, TX 78229-4427 - Phone
- (210) 450-1000
- Fax
- (210) 450-1150
- NPI assigned
- May 27, 2005
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 7
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040616000082 | TX | Practitioner - Medical Oncology |
3971587015 | Reassigns benefits to 5 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 78494 | MA | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Concord Medical Group PLLC | Current |
Accepting new patients | |
| Concord Medical Group of Texas PLLC | Current |
Accepting new patients | |
| Frio Hospital Association | Current |
Accepting new patients | |
| Texas Emergency Group LLC | Current |
Accepting new patients | |
| Frio Hospital Association | Current |
Accepting new patients | |
| Southwest Medical Associates, Inc. | Current |
Accepting new patients | |
| Cancer Healthcare Associates | Medical Oncology | Past | Accepting new patients |
Locations
200 S Geneva St
Breckenridge, TX 76424
Phone (254) 559-2241
2550 N Esplanade St
Cuero, TX 77954
Phone (361) 275-0532
1416 George Dieter Dr
El Paso, TX 79936
Phone (877) 822-6281
310 W South St
Henrietta, TX 76365
Phone (806) 647-2191
3100 Avenue E
Hondo, TX 78861
Phone (830) 426-7700
3349 S Highway 181
Kenedy, TX 78119
Phone (830) 583-3401
151 Medical Dr
Pearsall, TX 78061
Phone (830) 334-4126
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Oncology Physician | 207RX0202X | L3005 | TX | Yes |
Addresses
Primary practice location
7979 Wurzbach Rd
San Antonio, TX 78229-4427
Mailing address
7703 Floyd Curl Dr
MC 7977
San Antonio, TX 78229-3901
Phone (210) 257-1400
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 149475904 | Medicaid | TX |
Other providers in San Antonio, TX
- Cara Danielle Marcella
- Brooke Marcellis
- March Chiropractic PLLC
- Renee A Marchorro
- Marcia Napier
- Marco a. Lopez, Jr. M,D.P.a.
- Marco Counseling & Consulting, PLLC
- Marco Medical Care Sa PLLC
- Marichel L Marcolino
- Maria Leticia Marcon
All providers in San Antonio, TX · Medical Oncology Physician in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 18, 2010. 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.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.