SAN ANTONIO FOOT AND ANKLE CENTER, LLC (NPI# 1467958538) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467958538 |
| Entity Type | Organization |
| Organization Name | SAN ANTONIO FOOT AND ANKLE CENTER, LLC |
| Practice Address |
11212 State Highway 151 Ste 370 San Antonio TX 78251-4504 |
| Mailing Address |
Po Box 1089 Helotes TX 78023-1089 |
| Practice Telephone | 2106644700 |
| Practice Fax Number | 2106644701 |
| Mailing Telephone | 2106444700 |
| Mailing Fax Number | 2106444701 |
| Enumeration Date | 2018-04-05 |
| Last Update Date | 2018-04-11 |
| Authorized Official Name | CAROLINE DIANE GAYNOR (OWNER) |
| Authorized Official Telephone | 2106444701 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0131X |
Podiatrist Specialization: Foot Surgery |
1909 | TX | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | PENDING | PENDING | 01 |
| Street Address |
11212 STATE HIGHWAY 151 STE 370 |
| City | SAN ANTONIO |
| State | TX |
| Zip Code | 78251-4504 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255930558 | Iyobosasere Ighoroje | Nurse Practitioner | 11212 Tx - 151, San Antonio, TX 78251 | 2020-10-19 |
| 1528679933 | Michael Medina | Registered Nurse | 1224 Leonard Hunt, San Antonio, TX 78251 | 2020-08-11 |
| 1528676053 | Calm Spring Dental | Clinic/Center | 11034 W Military Drive, Suite 104, San Antonio, TX 78251 | 2020-07-21 |
| 1659917169 | Brianna Ashly Garcia | Behavioral Analyst | 3002 Culebra Rd, 105, San Antonio, TX 78251 | 2019-11-19 |
| 1245892751 | Rodolfo Eloy Zapata | Behavior Technician | 9032 Dugas Rd Apt 118, San Antonio, TX 78251 | 2019-07-03 |
| 1174188718 | Kesar Family Pllc | Internal Medicine | 3303 Rodgers Road, Suite 250, San Antonio, TX 78251 | 2019-05-09 |
| 1730657313 | Culebra Meadows Dental Partners Pllc | Dentist | 7895 Culebra Rd., San Antonio, TX 78251 | 2018-11-13 |
| 1720563299 | San Juanita Villanueva | Specialist/Technologist | 10618 Cat Mountain, San Antonio, TX 78251 | 2018-10-01 |
| 1316421506 | Westover Hills Primary Care | Family Medicine | 9022 Culebra Rd, Ste 112, San Antonio, TX 78251 | 2018-09-24 |
| 1649750894 | Alejandro Rodriguez Flores | Physical Therapy Assistant | 9922 Tx-151, San Antonio, TX 78251 | 2018-08-17 |
| Find all providers in zip 78251 | ||||
| Taxonomy Code | 213ES0131X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750394243 | Jason E. Mireles | Podiatrist | 2430 W Mistletoe Ave, San Antonio, TX 78228-5311 | 2006-08-14 |
| 1255386736 | Jason Edward Mireles | Podiatrist | 14726 Hidden Glen Woods, San Antonio, TX 78249-1466 | 2006-05-23 |
| 1174515589 | Caroline Diane Gaynor | Podiatrist | 1804 Ne Loop 410, Suite 200, San Antonio, TX 78217-5215 | 2005-08-22 |
| 1104822683 | Carmina M Fusco | Podiatrist | 1715 Mccullough Ave, 2nd Floor, San Antonio, TX 78212-4046 | 2005-06-21 |
| 1659376572 | Teresa Barrios Ogden | Podiatrist | 12042 Blanco Rd, Suite 310, San Antonio, TX 78216-5440 | 2005-06-16 |
| 1417951385 | Robert Peter Wunderlich | Podiatrist | 1123 N Main Ave, # 201, San Antonio, TX 78212-4740 | 2005-06-09 |
| 1386647691 | Richard Anthony Keh | Podiatrist | 343 W Houston St, Suite 109, San Antonio, TX 78205-2262 | 2005-05-31 |
| 1326308305 | Jerry W. Patterson, D.p.m, P.a. | Podiatrist | 423 Treeline Park, Suite 315, San Antonio, TX 78209-2060 | 2012-05-23 |
| 1184812315 | Robert P Wunderlich Dpm Pa | Podiatrist | 1123 N Main Ave, #201, San Antonio, TX 78212-4740 | 2007-10-12 |
| 1497751846 | James D Ogden | Podiatrist | 12042 Blanco Rd, Suite 310, San Antonio, TX 78216-5440 | 2005-06-21 |
| Find all providers in SAN ANTONIO | ||||
| City | SAN ANTONIO |
| Zip Code | 78251 |
Please comment or provide details below to improve the information on SAN ANTONIO FOOT AND ANKLE CENTER, LLC.
| 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.