KY RAYMOND
General Practice

Address: 3551 Roger Brooke Dr, San Antonio, TX 78234-4504

KY RAYMOND (NPI# 1306430491) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1306430491
Entity Type Individual
Full Name KY RAYMOND
Gender Male
Credential DO
Practice Address 3551 Roger Brooke Dr
San Antonio
TX 78234-4504
Practice Telephone 8013697015
Mailing Address 3551 Roger Brooke Dr
San Antonio
TX 78234-4504
Certification Date 2021-03-03
Enumeration Date 2021-03-01
Last Update Date 2021-03-03
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification Group License Number License State Taxonomy Group
N 208D00000X General Practice 193400000X SINGLE SPECIALTY GROUP 208D00000X NV Allopathic & Osteopathic Physicians
Y 390200000X Student in an Organized Health Care Education/Training Program Student, Health Care

Other Provider Identifiers

Identifier State Issuer Type Code
1234567 TX MEDICAID

Associated Endpoints

Endpoint Type Endpoint Affiliation Affiliation Address Use Content
CONNECT URL Brookearmymedicalcenter 3551 Roger Brooke Dr, San Antonio, TX 782344504

Office Location

Street Address 3551 ROGER BROOKE DR
City SAN ANTONIO
State TX
Zip Code 78234-4504

Providers in the same location

NPI Name Taxonomy Address Enumeration
1235724600 Brandon Nicholas Murdock Student in an Organized Health Care Education/Training Program 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234-4504 2021-03-07
1639764095 My Linh Dao Vu Student in an Organized Health Care Education/Training Program 3551 Roger Brooke Dr, Jbsa Ft Sam Houston, TX 78234-4504 2021-03-07
1881289247 Madison Taylor Dial Student in an Organized Health Care Education/Training Program 3551 Roger Brooke Dr, Jbsa Ft Sam Houston, TX 78234-4504 2021-03-07
1982299350 Jenna Lynn Scholl Student in an Organized Health Care Education/Training Program 3551 Roger Brooke Dr, Jbsa Ft Sam Houston, TX 78234-4504 2021-03-07
1639764186 Curtis Samuel Pacheco Student in an Organized Health Care Education/Training Program 3551 Roger Brooke Dr, Jbsa Ft Sam Houston, TX 78234-4504 2021-03-06
1225623929 Zachariah Hamidi Student in an Organized Health Care Education/Training Program 3551 Roger Brooke Dr, Jbsa Ft Sam Houston, TX 78234-4504 2021-03-04
1417542283 Morgan P Pinto Student in an Organized Health Care Education/Training Program 3551 Roger Brooke Dr, Jbsa Ft Sam Houston, TX 78234-4504 2021-03-04
1831784438 Jacob Robert Light Military Health Care Provider 3551 Roger Brooke Dr, Jbsa Ft Sam Houston, TX 78234-4504 2021-03-04
1144815952 Jay Rathod Student in an Organized Health Care Education/Training Program 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234-4504 2021-03-03
1245825108 Micaela Larose Student in an Organized Health Care Education/Training Program 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234-4504 2021-03-03
Find all providers in the same address

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1275128134 Sydnie Jones Student in an Organized Health Care Education/Training Program 3551 Roger Brook Dr, Jbsa- Ft Sam Houston, Sammc, Mche-Zdm-M, Internal Medicine Residency, San Antonio, TX 78234-4504 2021-03-03
1033733050 Contessa Ariel Tracy Psychologist · Clinical San Antonio Military Medical Center, 3551 Roger Brooke Dr, Jbsa Fort Sam Houston, TX 78234-4504 2020-06-05
1619590122 Carlos Vazquez Torres Student in an Organized Health Care Education/Training Program San Antonio Military Medical Center, 3551 Roger Brooke Drive, San Antonio, TX 78234-4504 2020-05-19
1154940070 Aneesh Atul Bapodra Student in an Organized Health Care Education/Training Program Sammc, Mche-Zdm-M, Internal Medicine Residency, 3551 Roger Brooke Dr, Jbsa-Fort Sam Houston, TX 78234-4504 2020-04-10
1912535378 Casey Joseph Lockett Student in an Organized Health Care Education/Training Program San Antonio Military Medical Center Mche-Mdx, 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234-4504 2020-03-31
1376171751 Jorey Alan Cunico Student in an Organized Health Care Education/Training Program San Antonio Military Medical Center, Mche-Zdm-M, Internal Medicine Residency, 3551 Roger Brooke Dr., Jbsa-Fort Sam Houston, TX 78234-4504 2020-03-31
1871120337 Skylar James Dehaan Student in an Organized Health Care Education/Training Program San Antonio Military Medical Center, Mche-Emr, 3551 Roger Brooke Drive, Jbsa, Fort Sam Houston, TX 78234-4504 2020-03-25
1003442138 Zach Jarrett Student in an Organized Health Care Education/Training Program San Antonio Military Medical Center, Mche-Zdm-M, 3551 Roger Brooke Dr, Jbsa Fort Sam Houston, TN 78234-4504 2020-03-20
1386270783 Cody Franklin Newell Student in an Organized Health Care Education/Training Program San Antonio Military Medical Center, Mche-Emr, 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234-4504 2020-03-17
1477189108 Brady Todd Olsen Student in an Organized Health Care Education/Training Program Sammc Dept of Medicine, Mche-Mdx, 3551 Roger Brooke Dr., Fort Sam Houston, TX 78234-4504 2020-03-13
Find all providers in zip 78234-4504

Providers in the same zip code prefix

NPI Name Taxonomy Address Enumeration
1689297186 Margarita Vidal Student in an Organized Health Care Education/Training Program San Antonio Military Medical Center, 3551 Roger Brooke Dr., San Antonio, TX 78234 2020-05-19
1245850593 Jedidiah 210-916-8712 Meyers Student in an Organized Health Care Education/Training Program Bamc, 3551 Roger Brooke Drive, Fort Sam Houston, UT 78234 2020-04-16
1124657366 Wendy Harris Pharmacist 3041 Garden Ave, Fort Sam Houston, TX 78234 2020-04-08
1407483415 Adam Joel Jackson Student in an Organized Health Care Education/Training Program Brooke Army Medical Center, 3551 Roger Brooke Drive, Fort Sam Houston, TX 78234 2020-03-27
1215564729 Travis Frantz Student in an Organized Health Care Education/Training Program 3551 Rodger Brooke Drive, Jbsa Fort Sam Houston, TX 78234 2020-03-25
1134756042 Billy Cameron Denley Student in an Organized Health Care Education/Training Program 3351 Roger Brooke Drive, Jbsa Fort Sam Houston, TX 78234 2020-03-23
1508492695 Matthew Grossmann Student in an Organized Health Care Education/Training Program San Antonio Military Medical Center, Mche-Zdm-M, Internal Medicine Residency, 3551 Roger Brooke Dr., Jbsa-Fort Sam Houston, TX 78234 2020-03-20
1265081178 Angeline Lienhop Student in an Organized Health Care Education/Training Program San Antonio Military Medical Center, 3551 Roger Brooke Dr., Fort Sam Houston, TX 78234 2019-09-04
1306491261 Paul J Park Dentist 3145 Garden Ave, Building 1278, San Antonio, TX 78234 2019-08-07
1255998985 Tyler Maxwell Goodwin Student in an Organized Health Care Education/Training Program General Surgery Residency Program, 3551 Roger Brooke Drive, Jbsa, Ft. Sam Houston, TX 78234 2019-05-29
Find all providers in zip 78234

Taxonomy Information

Taxonomy Code 208D00000X
Grouping Allopathic & Osteopathic Physicians
Classification General Practice

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1528658648 Texas Star Med Clinic LLC 325 Normandy Ave, San Antonio, TX 78209-4540 2021-01-22
1720600778 Cano Health Texas Pllc 7031 Marbach Rd, San Antonio, TX 78227-1911 2020-05-13
1962056762 Medexpress Primary Care Texas, P.a. 6200 Northwest Pkwy, San Antonio, TX 78249-3348 2019-07-30
1841752078 Anna Williams Zampese · Anna Catherine Williams 7703 Floyd Curl Dr Rm 719l, San Antonio, TX 78229-3900 2019-04-05
1528520004 Sierra Schepper 7703 Floyd Curl Drive, Rm: 719l.-L5 Mc:7792, San Antonio, TX 78229-3900 2019-04-03
1184185142 Matthew Figlewicz 3551 Roger Brooke Dr, San Antonio, TX 78234-4504 2019-03-30
1538624861 Arjun Kalra 3551 Roger Brooke Dr, San Antonio, TX 78234-4504 2019-01-31
1073003075 Justin Cole 4502 Medical Dr, San Antonio, TX 78229-4402 2018-05-15
1700383296 Madison Marvel 3551 Roger Brooke Dr, San Antonio, TX 78234-4504 2018-04-10
1205332210 Collin Thomas Clay 3551 Roger Brooke Dr, San Antonio, TX 78234-4504 2018-03-30
Find all providers in SAN ANTONIO

Competitor

Search similar providers

City SAN ANTONIO
Zip Code 78234

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.