Cibolo Creek Allergy PA

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

CIBOLO CREEK ALLERGY PA

Practice address

109 Yoalana, Suite 110
Boerne, TX 78006

Phone

(830) 997-5559

NPI assigned

Mar 13, 2023

Last updated

Mar 13, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jason Peet, MDNPI 1306880786

Title

MD/Owner

Phone

(830) 997-5559

Specialties & licenses 1

Addresses

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jason N Peet, M.D.

  • Family Medicine Physician
  • Fredericksburg, TX
  • NPI 1306880786
  NPD Authorized official
• Anna R Reyes, M.D.

  • Family Medicine Physician
  • McAllen, TX
  • NPI 1528166535
  NPD
• Amy Taylor, FNP-C, AGACNP-BC

  • Family Nurse Practitioner
  • Fredericksburg, TX
  • NPI 1144629734
  NPD
• Christa E O'Leary, D.O.

  • Family Medicine Physician
  • Fredericksburg, TX
  • NPI 1750326112
  NPD (past)
• Curtis Ryan Stubblefield, PA-C

  • Physician Assistant
  • Fredericksburg, TX
  • NPI 1790089910
  NPD (past)

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

{
    "created_epoch": "1678665600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678665600000",
    "number": "1710688247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 E LIVE OAK ST",
            "city": "FREDERICKSBURG",
            "state": "TX",
            "postal_code": "786244450",
            "telephone_number": "830-997-5559",
            "fax_number": "830-997-5558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 YOALANA, SUITE 110",
            "city": "BOERNE",
            "state": "TX",
            "postal_code": "78006",
            "telephone_number": "830-997-5559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CIBOLO CREEK ALLERGY PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-13",
        "last_updated": "2023-03-13",
        "certification_date": "2023-03-09",
        "status": "A",
        "authorized_official_last_name": "PEET",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "MD/OWNER",
        "authorized_official_telephone_number": "830-997-5559",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charleston Boerne Operations, LLC (Carechoice of Boerne)
• Crystal Haydee Chavez, M.D.
• Lauren Alexandria Chavez
• Richard L Childers, DPM
• Cibolo Counseling and Life Coaching
• Cibolo Creek Dermatology Group
• Cindabarrella Medical PLLC
• Katherine Martin Cirbo, PSYD
• Joyce K Clair, APN
• Corrie Lynn Clark, RDN, LD

• Family Medicine Physician in Boerne, TX
• Providers in Boerne, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2023; 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.