Jerome D. Kizzart, M.D./Rebecca Preiss Gen PTR

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

H3823 Issued in TX

Legal business name

JEROME D. KIZZART, M.D./REBECCA PREISS GEN PTR

Practice address

6511 US Highway 181 N
Suite 1
Floresville, TX 78114-6281

Phone

(830) 393-2400

Fax

(830) 393-2488

NPI assigned

Jun 9, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Jerome D Kizzart, M.D.

Title

Owner/Physician

Phone

(210) 323-5233

Specialties & licenses 5

Addresses

Other identifiers 4

Other names 1

• Jerome D. Kizzart, M.D. Doing business as

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

{
    "created_epoch": "1212969600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1283472000000",
    "number": "1710147285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6511 US HIGHWAY 181 N",
            "address_2": "SUITE 1",
            "city": "FLORESVILLE",
            "state": "TX",
            "postal_code": "781146281",
            "telephone_number": "830-393-2400",
            "fax_number": "830-393-2488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6511 US HIGHWAY 181 N",
            "address_2": "SUITE 1",
            "city": "FLORESVILLE",
            "state": "TX",
            "postal_code": "781146281",
            "telephone_number": "830-393-2400",
            "fax_number": "830-393-2488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEROME D. KIZZART, M.D./REBECCA PREISS GEN PTR",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-09",
        "last_updated": "2010-09-03",
        "status": "A",
        "authorized_official_last_name": "KIZZART",
        "authorized_official_first_name": "JEROME",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "210-323-5233",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "H3823",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "H3823",
            "primary": true
        },
        {
            "code": "207RS0012X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "TX",
            "license": "H3823",
            "primary": false
        },
        {
            "code": "2083P0011X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Preventive Medicine, Undersea and Hyperbaric Medicine",
            "state": "TX",
            "license": "H3823",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Hospitalist",
            "state": "TX",
            "license": "H3823",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA TRS CARE",
            "identifier": "004117860",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "138050310",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "0679188",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0020MB",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jerome D. Kizzart, M.D.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Frank M. Huizar Sr., PHARMACIST
• Enrique Iglesias Jr., MD
• Susan Ann Irwin, P.T.
• Diane Norwood James, RN PMHNP
• Jerome D. Kizzart, M.D., PLLC
• Raveta Angela Johnson
• Chitra Kewalramani
• Khushmeet Dental PLLC
• Janis Clair Kimble, DC
• Jill Michele Kingslien, MPT

• All providers in Floresville, TX
• Internal Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2010; 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.