Kenneth Ciolli, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

H5283 Issued in TX

Practice address

6218 NW Loop 410
San Antonio, TX 78238-3306

Phone

(210) 523-1411

Fax

(210) 523-9307

NPI assigned

Jul 7, 2005

Last updated

May 22, 2008By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1120694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1211414400000",
    "number": "1891792545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8637 FREDERICKSBURG RD",
            "address_2": "#360",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782401285",
            "telephone_number": "210-949-4179",
            "fax_number": "210-617-4075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6218 NW LOOP 410",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782383306",
            "telephone_number": "210-523-1411",
            "fax_number": "210-523-9307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CIOLLI",
        "first_name": "KENNETH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-07",
        "last_updated": "2008-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "H5283",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrew V Cinco, FNP
• Cindy Gonzalez
• Cindys Place
• Charles D Cintron, LVN
• Melissa Cintron, BCBA
• Alexandru George Ciornei
• Erica Gabriella Cioti
• Mark Paul Cipolla, DMD
• Maria Yolanda Cipriani, M.D.
• Gloria Cirineo

• Family Medicine Physician in San Antonio, TX
• Providers in San Antonio, 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 May 22, 2008; 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.