| Santa Rosa Family Practice Residency Program | |
|
11130 Christus Hls 3rd Floor San Antonio TX 78251-3585 | |
| (210) 703-9001 | |
| (210) 703-9155 |
| Full Name | Santa Rosa Family Practice Residency Program |
|---|---|
| Speciality | Family Medicine |
| Location | 11130 Christus Hls, San Antonio, Texas |
| Authorized Official Name and Position | Christine D Criscuolohiggins (PROGRAM DIRECTOR) |
| Authorized Official Contact | 2107039045 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Santa Rosa Family Practice Residency Program 11130 Christus Hls Medical Plaza 3, 3rd Fl San Antonio TX 78251-3585 Ph: (210) 703-9001 | Santa Rosa Family Practice Residency Program 11130 Christus Hls 3rd Floor San Antonio TX 78251-3585 Ph: (210) 703-9001 |
| NPI Number | 1679572804 |
|---|---|
| Provider Enumeration Date | 07/19/2005 |
| Last Update Date | 07/21/2022 |
| Medicare PECOS PAC ID | 1759376874 |
|---|---|
| Medicare Enrollment ID | O20040419000303 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679572804 | NPI | - | NPPES |
| 0803595-02 | Other | TX | CIDC GROUP NUMBER |
| 0803595-01 | Medicaid | TX | |
| 0803595-03 | Other | TX | EPSDT FACILITY NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (Texas) | Primary |
| Provider Name | Jeff E Hagen |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1710965488 PECOS PAC ID: 9931092327 Enrollment ID: I20040209000745 |
| Provider Name | Mark L Lobaugh |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1710984091 PECOS PAC ID: 7719874742 Enrollment ID: I20050711000520 |
| Provider Name | Christine D Criscuolo Higgins |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881695864 PECOS PAC ID: 6002844677 Enrollment ID: I20050803001158 |
| Provider Name | Jose R Hinojosa |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063435063 PECOS PAC ID: 5395760680 Enrollment ID: I20051005001098 |
| Provider Name | Kristen N Innes |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1457327884 PECOS PAC ID: 5890772677 Enrollment ID: I20060322000576 |
| Provider Name | Charles Keith Grisham |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1356531180 PECOS PAC ID: 1355351040 Enrollment ID: I20060425000744 |
| Provider Name | Rodolfo R Navarro |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1568665958 PECOS PAC ID: 1052470226 Enrollment ID: I20081103000139 |
| Provider Name | Maria D Ballesteros |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881699361 PECOS PAC ID: 8921142530 Enrollment ID: I20100220000222 |
| Provider Name | James Charles Martin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144226572 PECOS PAC ID: 7517993181 Enrollment ID: I20100223000161 |
| Provider Name | Esmeralda Gonzalez Gill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912200569 PECOS PAC ID: 4880873041 Enrollment ID: I20110120000756 |
| Provider Name | Steven R Edmondson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1164429890 PECOS PAC ID: 8820272917 Enrollment ID: I20110414000404 |
| Provider Name | James H Henderson |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1275604837 PECOS PAC ID: 8628253762 Enrollment ID: I20110504000694 |
| Provider Name | Scheel L Nayar |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1104841873 PECOS PAC ID: 6800797465 Enrollment ID: I20110920000077 |
| Provider Name | Rebecca L Campos |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558523530 PECOS PAC ID: 3173794906 Enrollment ID: I20110927000530 |
| Provider Name | Carlos E Quezada |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1437115698 PECOS PAC ID: 1456523174 Enrollment ID: I20110930000286 |
| Provider Name | Rebekah Georges |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437358637 PECOS PAC ID: 9537356365 Enrollment ID: I20120810000119 |
| Provider Name | Latasha A Rabsatt |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1831351899 PECOS PAC ID: 8729233432 Enrollment ID: I20130426000539 |
| Provider Name | Rolando Perez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174844633 PECOS PAC ID: 0143467282 Enrollment ID: I20130509000566 |
| Provider Name | Ashley Hartt Anderson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730448366 PECOS PAC ID: 3678706975 Enrollment ID: I20140512000149 |
| Provider Name | Nancy L Burleson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1528124336 PECOS PAC ID: 9234118423 Enrollment ID: I20140826002512 |
| Provider Name | Valentine Chukwuma Ugwu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629380415 PECOS PAC ID: 2769601988 Enrollment ID: I20140919000728 |
| Provider Name | Zachary E Taylor |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851651483 PECOS PAC ID: 8224257233 Enrollment ID: I20140923002156 |
| Provider Name | Laura A Nietfeld |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669601092 PECOS PAC ID: 4789907478 Enrollment ID: I20150105001407 |
| Provider Name | Robert Charles Rigby |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1487734752 PECOS PAC ID: 6002805652 Enrollment ID: I20161122001501 |
| Provider Name | Amanda E Schultz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922412568 PECOS PAC ID: 6608093547 Enrollment ID: I20170803001123 |
| Provider Name | Giannina Guardia Rullan |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1407295066 PECOS PAC ID: 0143595660 Enrollment ID: I20171010002075 |
| Provider Name | Karissa Monique Nauert |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1962753491 PECOS PAC ID: 1052679016 Enrollment ID: I20171220001585 |
| Provider Name | Edward Seto |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528448602 PECOS PAC ID: 0547572604 Enrollment ID: I20180810002002 |
| Provider Name | Aaron Wood |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558713339 PECOS PAC ID: 5991097842 Enrollment ID: I20190917001133 |
| Provider Name | Ramy L Noche |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245763143 PECOS PAC ID: 6800166828 Enrollment ID: I20200624002485 |
| Provider Name | Kerry Graebe |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1053742262 PECOS PAC ID: 4385863810 Enrollment ID: I20200714000938 |
| Provider Name | Troy Bassiri |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316475643 PECOS PAC ID: 3870861255 Enrollment ID: I20201120001384 |
| Provider Name | Claudia Collins |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780112094 PECOS PAC ID: 6002184397 Enrollment ID: I20201124000213 |
| Provider Name | Mariel Bagley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235622986 PECOS PAC ID: 7214283530 Enrollment ID: I20210708003611 |
| Provider Name | Christine K Huang |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801233580 PECOS PAC ID: 8224271200 Enrollment ID: I20220302001306 |
Texas Bariatric Specialist Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 8038 Wurzbach Rd # 650b, San Antonio, TX 78229 Phone: 713-464-7555 Fax: 713-464-0219 | |
Doctor At Your Service Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4242 Medical Dr, Suite 6250, San Antonio, TX 78229 Phone: 210-479-3297 Fax: 210-479-3295 | |
Alexis Wiesenthal Md Pa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 8038 Wurzbach Rd Ste 320, San Antonio, TX 78229 Phone: 210-614-3365 | |
R Family Medical Group, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3110 Nogalitos, Suite 105, San Antonio, TX 78225 Phone: 210-533-0257 Fax: 210-531-9488 | |
Communicare Health Centers Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1200 Brooklyn Ave Ste 300, San Antonio, TX 78212 Phone: 210-225-5930 Fax: 210-476-0246 | |
Insulin Rounds P A Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 12951 Huebner Rd, #780355, San Antonio, TX 78278 Phone: 210-862-5506 | |
Omni Vision Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 9218 Potranco Rd, Suite 105, San Antonio, TX 78251 Phone: 832-331-9831 Fax: 210-855-8365 |