Basic Information
| Provider Information | |||||||||
| NPI: | 1275073561 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | GERINGER | ||||||||
| FirstName: | JAMIE | ||||||||
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| Credential: | D.O | ||||||||
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| Mailing Information | |||||||||
| Address1: | 3551 ROGER BROOKE DR, INTERNAL MEDICINE RESIDENCY | ||||||||
| Address2: | SAN ANTONIO MILITARY MEDICAL CENTER, MCHE-ZDM-M | ||||||||
| City: | FORT SAM HOUSTON | ||||||||
| State: | TX | ||||||||
| PostalCode: | 782344504 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2102925077 | ||||||||
| FaxNumber: | 2102927868 | ||||||||
| Practice Location | |||||||||
| Address1: | 3551 ROGER BROOKE DR., INTERNAL MEDICINE RESIDENCY | ||||||||
| Address2: | SAN ANTONIO MILITARY MEDICAL CENTER, MCHE-ZDM-M | ||||||||
| City: | JBSA-FORT SAM HOUSTON | ||||||||
| State: | TX | ||||||||
| PostalCode: | 782344504 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2109165910 | ||||||||
| FaxNumber: | 2109162077 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 03/06/2017 | ||||||||
| LastUpdateDate: | 04/20/2021 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 08/11/2020 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207R00000X | 0102205444 | VA | Y | Allopathic & Osteopathic Physicians | Internal Medicine |
No ID Information.