AMY COBB (NPI# 1780020271) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780020271 |
| Entity Type | Individual |
| Full Name | AMY COBB |
| Gender | Female |
| Practice Address | 1055 Ada St San Antonio TX 78223 |
| Practice Telephone | 2103585515 |
| Practice Fax Number | 2103585530 |
| Mailing Address | Po Box 734812 Dallas TX 75373-4812 |
| Mailing Telephone | 2103589500 |
| Mailing Fax Number | 2103589183 |
| Certification Date | 2021-01-25 |
| Enumeration Date | 2013-05-11 |
| Last Update Date | 2021-01-25 |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | Group | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | R3054 | TX | Allopathic & Osteopathic Physicians | |
| N | 208000000X | Pediatrics | R3054 | TX | Allopathic & Osteopathic Physicians |
| Identifier | State | Issuer | Type Code |
|---|---|---|---|
| 574036 | TX | TEXAS MEDICAL BOARD ID | Other |
| 7004814074 | TX | ACGME PROGRAM ID | Other |
| BP10046577 | TX | TEXAS MEDICAL BOARD PERMIT NUMBER | Other |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1 Baylor Plz, Houston, TX 770303411 | 7137984951 |
| Endpoint Type | Endpoint | Affiliation | Affiliation Address | Use | Content |
|---|---|---|---|---|---|
| Direct Messaging Address | acobb20693@uhssa.direct-ci.com | 1055 Ada St, San Antonio, TX 78223 |
| PECOS Associate Control (PAC) ID | 9436420288 by Medicare Provider Enrollment and Chain/Ownership System (PECOS) |
| Professional Enrollment ID | I20170812000050 |
| Last Name | COBB |
| First Name | AMY |
| Organization Legal Name | COMMUNITY MEDICINE ASSOCIATES |
| Location | 1055 Ada St, San Antonio, TX 78223-1703 |
| Phone Number | 2103585515 |
| Medical School | BAYLOR COLLEGE OF MEDICINE |
| Graduation Year | 2013 |
| Primary Specialty | INTERNAL MEDICINE |
| Group Practice PAC ID | 7719979509 |
| Number of Group Practice Members | 175 |
| Street Address | 1055 ADA ST |
| City | SAN ANTONIO |
| State | TX |
| Zip Code | 78223 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013340504 | Brett Steelman | Physician Assistant | 1055 Ada St, San Antonio, TX 78223-1703 | 2013-08-20 |
| 1124509625 | Bridget Sedano Haggerty | Nurse Practitioner · Family | 1055 Ada St, San Antonio, TX 78223-1703 | 2018-08-23 |
| 1821501347 | Daniel R. Flores | Pharmacist · Ambulatory Care | 1055 Ada St, San Antonio, TX 78223-1703 | 2017-11-06 |
| 1740715671 | Hao Shen | Family Medicine | 1055 Ada St, San Antonio, TX 78223-1703 | 2017-04-28 |
| 1639604069 | Kennedy Michael Tlaseca | Pediatrics | 1055 Ada St, San Antonio, TX 78223-1703 | 2017-04-24 |
| 1104370543 | Justine Lee Hudson · Justine Lee Hatton | Physician Assistant | 1055 Ada St, San Antonio, TX 78223-1703 | 2016-08-13 |
| 1891149381 | Albert Bararwandika | Family Medicine | 1055 Ada St, San Antonio, TX 78223-1703 | 2016-04-20 |
| 1316300023 | Michelle Rodriguez · Michelle Palacios | Family Medicine | 1055 Ada St, San Antonio, TX 78223-1703 | 2016-03-30 |
| 1689033722 | Stephanie Kaiser | Physician Assistant | 1055 Ada St, San Antonio, TX 78223-1703 | 2016-02-17 |
| 1477936219 | Deborah Dergan | Family Medicine | 1055 Ada St, San Antonio, TX 78223-1703 | 2015-06-29 |
| Find all providers in the same address | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598310344 | Celebraces Se Military Pllc | Dentist · Pediatric Dentistry | 3611 Se Military Drive, Suite B101, San Antonio, TX 78223 | 2019-08-08 |
| 1295204410 | All Discountz Mobile Phlebotomy Services | Contractor | 6639 South New Braunfels, #19101, San Antonio, TEXAS 78223 | 2018-11-16 |
| 1588131585 | Ad Mobile Phlebotomy Services | Technician, Pathology · Phlebotomy | 6639 South New Braunfels Avenue, #19101, San Antonio, TEXAS 78223 | 2018-10-28 |
| 1437626694 | Valerie Brown | Technician, Pathology · Phlebotomy | C/O 6639 South New Braunfels Avenue, #19101, San Antonio, TEXAS 78223 | 2018-10-25 |
| 1285135574 | Allan Socrates Mamaril Angeles | Registered Nurse · Home Health | 535 Hot Wells Blvd, Apt 301, San Antonio, TX 78223 | 2018-02-22 |
| 1619482791 | Sa Injury Center | Chiropractor | 4130 S New Braunfels Ave Ste 113, San Antonio, TX 78223 | 2017-12-11 |
| 1356799845 | Cvs Pharmacy Inc · Cvs Pharmacy #10633 | Durable Medical Equipment & Medical Supplies | 3502 Se Military Drive, San Antonio, TX 78223 | 2016-05-25 |
| 1467810325 | Dsi Southeast San Antonio, LLC · U. S. Renal Care Southeast San Antonio Dialysis | Clinic/Center · End-Stage Renal Disease (ESRD) Treatment | 2635 S.e. Military Drive, San Antonio, TX 78223 | 2016-02-08 |
| 1477832293 | Jg-Surgical Assistant'S,Llc | Specialist/Technologist, Other · Surgical Assistant | 5311 Cynthia Linn, San Antonio, TX 78223 | 2011-08-10 |
| 1841580826 | Kiddo Denal Pa · Cesar Rotter Dds | Dentist · Pediatric Dentistry | 3520 S. New Braunfels Ste 100, Kiddo Dental, San Antonio, TX 78223 | 2011-04-12 |
| Find all providers in zip 78223 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
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| 1154945913 | Primera Wellness LLC | 1603 Babcock Rd Ste 238-2, San Antonio, TX 78229-4708 | 2020-06-07 | |
| 1982244612 | Douglas Shawn Owens | 503 E Sonterra Blvd Ste 102, San Antonio, TX 78258-4059 | 2020-01-10 | |
| 1154978773 | Samaritans of Texas Pllc | 2040 Babcock Rd Ste 406, San Antonio, TX 78229-4428 | 2019-08-19 | |
| 1063070571 | Star Team Intensive Care and Hospitalist Pllc · South Texas Intensive Care and Hospitalist Pllc | 11765 West Ave # 199, San Antonio, TX 78216-2559 | 2019-05-30 | |
| 1194381087 | H&o Jawed Health LLC | 5418 N Loop 1604 W, San Antonio, TX 78249-4581 | 2019-05-15 | |
| 1053872937 | Southern Texas Physicians,Llc | 14345 Blanco Rd, San Antonio, TX 78216-7723 | 2019-03-25 | |
| 1295299808 | Advanced Internal Medicine Practice Pllc · Aim | 14327 Blanco Rd, San Antonio, TX 78216-7723 | 2019-01-28 | |
| Find all providers in SAN ANTONIO | ||||
| City | SAN ANTONIO |
| Zip Code | 78223 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023102266 | Cobb Endoscopy Center LLC | Clinic/Center · Endoscopy | 3969 South Cobb Dr, Suite 207, Smyrna, GA 30080 | 2006-10-03 |
| 1316308679 | Cobb Counseling, Lcsw, Pllc · Cobb Psychotherapy | Social Worker · Clinical | 300 Cadman Plz W Fl 12, Brooklyn, NY 11201-3226 | 2016-03-15 |
| 1962622993 | John Cobb Md · Cobb and Associates | Psychiatry & Neurology · Psychiatry | 6502 Slide Rd, Suite 311, Lubbock, TX 79424-1329 | 2007-05-01 |
| 1912047572 | Cobb County Community Services Board | Community/Behavioral Health | 5400 S Cobb Dr Se, Smyrna, GA 30080-7421 | 2007-02-06 |
| 1831277987 | Cobb Medical Associates, LLC | Internal Medicine | 3903 S Cobb Dr Se, Suite 200, Smyrna, GA 30080-6342 | 2006-11-02 |
| 1376843219 | Butlers Furniture Inc | Durable Medical Equipment & Medical Supplies | 1211 Mt.cobb Road, Mount Cobb, PA 18436-3218 | 2010-10-26 |
| 1154728780 | Cobb Counseling Center Inc | Social Worker · Clinical | 4015 S Cobb Dr Se, Suite 4, Smyrna, GA 30080-6303 | 2014-11-25 |
| 1205001401 | Gregory E. Cobb, D.c., P.a · Cobb Rehab & Wellness | Chiropractor | 4209 E Busch Blvd, Tampa, FL 33617-5937 | 2008-04-28 |
| 1083711691 | Ty Cobb Healthcare System · Cobb Memorial Hospital | General Acute Care Hospital · Rural | 521 Franklin Springs St, Royston, GA 30662-3934 | 2006-09-19 |
| 1487643953 | Baldwin Family Health Care · Cobb Street Pharmacy | Pharmacy · Community/Retail Pharmacy | 520 Cobb St, Cadillac, MI 49601-2588 | 2005-10-18 |
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| 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.