THE PODIATRY GROUP OF SOUTH TEXAS, PA (NPI# 1063522993) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063522993 |
| Entity Type | Organization |
| Organization Name | THE PODIATRY GROUP OF SOUTH TEXAS, PA |
| Practice Address |
5825 Callaghan Rd Ste 102 San Antonio TX 78228-1106 |
| Practice Telephone | 2102278700 |
| Practice Fax Number | 2103489130 |
| Mailing Telephone | 2102278700 |
| Mailing Fax Number | 2103489130 |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2018-03-30 |
| Authorized Official Name | KAREN D SINCLAIR (OPERATIONS OFFICER) |
| Authorized Official Telephone | 2102278700 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 157841101 | 05 | |
| TX | PTAN | 49886670017 | 01 |
| TX | BCBS | 00817U | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710117817 | The Podiatry Group of South Texas, Pa | Durable Medical Equipment & Medical Supplies | 11212 Highway 151 Ste 390, San Antonio, TX 78251-4504 | 2009-07-23 |
| 1316048614 | The Podiatry Group of South Texas, Pa | Durable Medical Equipment & Medical Supplies | 1301 Hospital Blvd, Floresville, TX 78114-2731 | 2006-09-26 |
| 1730280793 | The Podiatry Group of South Texas, Pa | Durable Medical Equipment & Medical Supplies | 9150 Huebner Rd Ste 270, San Antonio, TX 78240-1598 | 2006-09-25 |
| 1669573697 | The Podiatry Group of South Texas, Pa | Durable Medical Equipment & Medical Supplies | 2130 Ne Loop 410 Ste 301, San Antonio, TX 78217-4662 | 2006-09-25 |
| 1083715056 | The Podiatry Group of South Texas, Pa | Durable Medical Equipment & Medical Supplies | 1303 Mccullough Ave Ste 348, San Antonio, TX 78212-5622 | 2006-09-25 |
| 1164523270 | The Podiatry Group of South Texas, Pa | Durable Medical Equipment & Medical Supplies | 28580 Interstate 10 W Unit 3, Fair Oaks Ranch, TX 78006-9106 | 2006-09-25 |
| 1396846341 | The Podiatry Group of South Texas, Pa | Durable Medical Equipment & Medical Supplies | 11901 Toepperwein Rd Ste 1102, Live Oak, TX 78233-3159 | 2006-09-25 |
| 1821220005 | The Podiatry Group of South Texas, Pa | Durable Medical Equipment & Medical Supplies | 11212 Highway 151 Ste 390, San Antonio, TX 78251-4504 | 2009-08-20 |
| 1477742815 | The Podiatry Group of South Texas, Pa | Durable Medical Equipment & Medical Supplies | 2115 Pleasanton Rd, Suite 204, San Antonio, TX 78221-1321 | 2007-10-22 |
| 1831290931 | The Podiatry Group of South Texas, Pa | Durable Medical Equipment & Medical Supplies | 3349 S Highway 181, Kenedy, TX 78119-5247 | 2006-09-25 |
| Street Address |
5825 CALLAGHAN RD STE 102 |
| City | SAN ANTONIO |
| State | TX |
| Zip Code | 78228-1106 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770064206 | Isabel Cristina Moreno | Licensed Vocational Nurse | 5419 Shivalik Way, San Antonio, TX 78228 | 2018-08-23 |
| 1053846097 | Miguel Angel Hernandez | Counselor | 3615 Culebra Road, San Antonio, TX 78228 | 2017-04-27 |
| 1841724424 | Amber Fragoso | Specialist/Technologist | 1 Camino Sanata Maria, San Antonio, TX 78228 | 2017-04-20 |
| 1184175937 | John Amundson IIi | Counselor | 4243 E Piedras Dr # 100, San Antonio, TX 78228 | 2016-10-17 |
| 1215487475 | Compassus Op of Texas LLC | Hospice Care, Community Based | 4242 E Piedras Dr, Suite 200, San Antonio, TX 78228 | 2016-10-11 |
| 1407220130 | Jessica Marie Hernandez-benavidez | Counselor | 2939 W. Woodlawn, Buidling 2, San Antonio, TX 78228 | 2015-11-18 |
| 1720494214 | Early Trail Inc | Assisted Living Facility | 322 Early Trail, San Antonio, TX 78228 | 2014-07-07 |
| 1992117717 | R A Alvarado Medical Pllc | Pain Medicine | 4100 E Piedras Dr Ste 165, San Antonio, TX 78228 | 2014-05-28 |
| 1447681606 | Smile Kings Bandera, Pllc | Dentist | 919 Bandera Rd. Ste 101, San Antonio, TX 78228 | 2013-12-12 |
| 1811230345 | Gwendolyn Holland | Registered Nurse | 5310 Arrowhead Dr, San Antonio, TX 78228 | 2013-04-03 |
| Find all providers in zip 78228 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417446642 | South Alamo Foot & Ankle Pllc | Podiatrist | 102 Palo Alto Rd Ste 133, San Antonio, TX 78211-3792 | 2018-05-03 |
| 1467803064 | Preston John Panicco | Podiatrist | 14615 San Pedro Ave Ste 160, San Antonio, TX 78232-4364 | 2016-06-24 |
| 1114367968 | Elaine Danial | Podiatrist | 4334 N Loop 1604 W Ste 102, San Antonio, TX 78249-3485 | 2013-06-26 |
| 1467772863 | Ruben Jordan Mechell | Podiatrist | 3303 Rogers Rd Ste 230, San Antonio, TX 78251 | 2010-06-08 |
| 1639336746 | Russell Stanley | Podiatrist | 8042 Wurzbach Rd Ste 450, Physicians Plaza II, San Antonio, TX 78229-3808 | 2008-05-18 |
| 1780867754 | Michael R. Langlois | Podiatrist | 701 S Zarzamora St # Sr, San Antonio, TX 78207-5209 | 2007-12-12 |
| 1467634121 | Sean L. Kersh | Podiatrist | 8603 N Loop 1604 W, Apartment #8106, San Antonio, TX 78249-2601 | 2007-12-04 |
| 1720268741 | Moffatt David Adams Jr. | Podiatrist | 18585 Sigma Rd Ste 104, San Antonio, TX 78258 | 2007-11-07 |
| 1609075902 | Eddie Davis | Podiatrist | 109 Gallery Cir Ste 119, Suite 119, San Antonio, TX 78258-3328 | 2007-07-16 |
| 1528117140 | Walter William Strash | Podiatrist | 7424 Broadway St, San Antonio, TX 78209-3254 | 2007-01-10 |
| Find all providers in SAN ANTONIO | ||||
| City | SAN ANTONIO |
| Zip Code | 78228 |
Please comment or provide details below to improve the information on THE PODIATRY GROUP OF SOUTH TEXAS, PA.
| 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.