SOUTH TEXAS ORTHOPEDIC SPECIALTY GROUP, PLLC (NPI# 1114290624) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1114290624 |
Entity Type | Organization |
Organization Name | SOUTH TEXAS ORTHOPEDIC SPECIALTY GROUP, PLLC |
Practice Address |
7500 Barlite Blvd Suite 311 San Antonio TX 78224-1363 |
Practice Telephone | 2105985605 |
Practice Fax Number | 2105985620 |
Mailing Telephone | 2105985605 |
Mailing Fax Number | 2105985620 |
Enumeration Date | 2012-02-14 |
Last Update Date | 2015-11-03 |
Authorized Official Name | DR. MICHAEL THOMAS CHARLTON (PRESIDENT) |
Authorized Official Telephone | 2105985605 |
Authorized Official Credential | M.D. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207XX0801X |
Orthopaedic Surgery Specialization: Orthopaedic Trauma |
M7102 | TX | Allopathic & Osteopathic Physicians |
Street Address |
7500 BARLITE BLVD SUITE 311 |
City | SAN ANTONIO |
State | TX |
Zip Code | 78224-1363 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1225033509 | Barrett Keith Hays | Family Medicine | 7500 Barlite Blvd, Ste 209, San Antonio, TX 78224-1361 | 2005-06-14 |
1326423435 | Roberta Louise Taillon | Nurse Practitioner | 7500 Barlite Blvd, Ste 201, San Antonio, TX 78224-1361 | 2015-07-30 |
1063817849 | Erica Elizabeth Gomez | Allergy & Immunology | 7500 Barlite Blvd, Suite 106, San Antonio, TX 78224-1361 | 2014-10-23 |
1124344106 | Claudia L. Cala Morales | Family Medicine | 7500 Barlite Blvd, Ste. 201, San Antonio, TX 78224-1361 | 2010-04-15 |
1346477452 | Ian James Whitney | Orthopaedic Surgery | 7500 Barlite Blvd, Suite 311, San Antonio, TX 78224-1361 | 2009-06-16 |
1124204318 | Barlite Medical Clinic | Family Medicine | 7500 Barlite Blvd, Ste 209, San Antonio, TX 78224-1361 | 2008-01-17 |
1952586851 | Guy E. Reyes | Orthopaedic Surgery | 7500 Barlite Blvd, Suite 311, San Antonio, TX 78224-1363 | 2008-01-09 |
1386835171 | Rsa-san Antonio, LLP | Clinic/Center | 7500 Barlite Blvd, Suite 103, San Antonio, TX 78224-1362 | 2007-08-06 |
1881727840 | Erika Garza | Family Medicine | 7500 Barlite Blvd, Ste. 201, San Antonio, TX 78224-1361 | 2007-03-13 |
1801978945 | General Physicians Group, Pa | Internal Medicine | 7500 Barlite Blvd, Suite 105, San Antonio, TX 78224-1361 | 2006-10-19 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1083215222 | Caleb Paul Cruz | Physical Therapy Assistant | 98 Briggs Ave, Ste 990, San Antonio, TX 78224 | 2020-11-04 |
1770124984 | Lillian Cerritos | Physical Therapist | 7719 I-35 S. #213, San Antonio, TX 78224 | 2019-09-30 |
1730606211 | Stephanie Hernandez | Physical Therapy Assistant | 2227 Sundrop Bay, San Antonio, TX 78224 | 2017-08-25 |
1770012155 | Pedro Daniel Godoy Sr. | Technician | 9422 Hindi St., San Antonio, TX 78224 | 2017-06-08 |
1417408642 | Lynda Marie Perez | Specialist/Technologist | 98 Briggs Ave #990, San Antonio, TX 78224 | 2016-10-24 |
1679933832 | Cvs Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 8731 Poteet Jourdanton Freeway, San Antonio, TX 78224 | 2016-03-02 |
1699157495 | Samantha Gonzalez | Obstetrics & Gynecology | 7430 Barlite Blvd Ste 105, San Antonio, TX 78224 | 2015-06-29 |
1043601206 | Abraham A Alecozay Md Pa Phd | Obstetrics & Gynecology | 7430 Barlite Suite 105, San Antonio, TX 78224 | 2015-02-10 |
1265846794 | Ashley Arellano | Speech-Language Pathologist | 98 Briggs Avenue, Suite 990, San Antonio, TX 78224 | 2014-06-12 |
1912310244 | Jose Angel Musquiz Jr. | Massage Therapist | 7423 Yarrow Blvd Apt 3107, San Antonio, TX 78224 | 2014-06-04 |
Find all providers in zip 78224 |
Taxonomy Code | 207XX0801X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Orthopaedic Surgery |
Specialization | Orthopaedic Trauma |
Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic trauma surgeons deal with the evaluation and management of acute orthopaedic injuries, evaluation and treatment of post-traumatic deformities and nonunions, acute and delayed reconstruction of pelvic and acetabular fractures, as well as osteotomy in the adult hip for treatment of hip arthritis. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Separate board certification is not currently offered. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1992952857 | Richard Brian Barber | Orthopaedic Surgery | 21 Spurs Ln Ste 300, San Antonio, TX 78240-1679 | 2008-08-22 |
1588655799 | Michael Thomas Charlton | Orthopaedic Surgery | 10010 Rogers Xing Ste 308, San Antonio, TX 78251-4776 | 2005-11-04 |
1316140536 | Boris A Zelle | Orthopaedic Surgery | 4502 Medical Dr, San Antonio, TX 78229-4402 | 2007-06-06 |
1275686610 | Eric Gale Verwiebe | Orthopaedic Surgery | 3551 Roger Brooke Dr, San Antonio, TX 78234-4504 | 2007-01-19 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1114192473 | Joseph M Hahn | Orthopaedic Surgery | 7121 S Padre Island Dr Ste 106, Corpus Christi, TX 78412 | 2008-04-28 |
1386835585 | Justin Fowler | Orthopaedic Surgery | 2606 Hospital Blvd Ste E, Corpus Christi, TX 78405 | 2007-08-05 |
1033312632 | Brent J Bauer | Orthopaedic Surgery | 7125 Sanger Rd Ste 516, Waco, TX 76712-4054 | 2007-06-09 |
1568665164 | Ashoke Kasyap Sathy | Orthopaedic Surgery | 4900 Harry Hines Blvd Fl 2, Dept of Orthopaedic Surgery, Dallas, TX 75235-7719 | 2007-06-09 |
1689694390 | Charisse Y Sparks | Orthopaedic Surgery | 1809 W Loop 281, Suite 100-131, Longview, TX 75604-2571 | 2006-07-19 |
1932199759 | Robert O Crous IIi | Orthopaedic Surgery | 5519 Doctors Dr, Edinburg, TX 78539-5563 | 2005-10-24 |
1205241965 | Raymond Bradley Kessler | Orthopaedic Surgery | 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234-4504 | 2014-06-20 |
1962847376 | Jacob Travis Davis | Orthopaedic Surgery | 2201 Macarthur Dr Ste 2205, Waco, TX 76708-3159 | 2013-04-30 |
1851633994 | Ashley Elizabeth Levack | Orthopaedic Surgery | 6414 Fannin St Ste G150, Houston, TX 77030-1514 | 2013-03-26 |
1659618221 | Mansour Navid Ortho Pa | Orthopaedic Surgery | 800 Peakwood Dr, Suite 3a, Houston, TX 77090-2900 | 2013-01-15 |
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City | SAN ANTONIO |
Zip Code | 78224 |
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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.