DR. MARK M CASILLAS (NPI# 1598709305) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598709305 |
| Entity Type | Individual |
| Full Name | DR. MARK M CASILLAS |
| Credential | M.D. |
| Practice Address |
1139 E Sonterra Blvd Ste 205 San Antonio TX 78258-4349 |
| Practice Telephone | 2108743359 |
| Mailing Telephone | 2108743359 |
| Mailing Fax Number | 2108743369 |
| Enumeration Date | 2006-06-15 |
| Last Update Date | 2019-12-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207X00000X | Orthopaedic Surgery | J1917 | TX | Allopathic & Osteopathic Physicians |
| Y | 207XX0004X |
Orthopaedic Surgery Specialization: Foot and Ankle Surgery |
J1917 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | AETNA | 5972563 | 01 |
| TX | 048005502 | 05 | |
| TX | RAILROAD MEDICARE | P00088532 | 01 |
| TX | BCBS | 8K6270 | 01 |
| TX | CIGNA | 1676698 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 414 Navarro St, 1616, San Antonio, TX 782052516 | 2102242655 | 8666440889 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245458082 | Mark A. Casillas Jr. | Surgery | 1934 Alcoa Highway, Bldg D, Suite 370, Knoxville, TN 37920 | 2007-04-24 |
| Street Address |
1139 E SONTERRA BLVD STE 205 |
| City | SAN ANTONIO |
| State | TX |
| Zip Code | 78258-4349 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639145725 | Stace S Rust | Orthopaedic Surgery | 1139 E Sonterra Blvd Ste 205, San Antonio, TX 78258-4349 | 2006-02-27 |
| 1538619440 | Stone Oak Womens Center | Nurse Practitioner | 1139 E Sonterra Blvd Ste 205, San Antonio, TX 78258-4349 | 2016-10-04 |
| 1922310416 | Sybil Jill Mudloff | Nurse Practitioner | 1139 E Sonterra Blvd Ste 205, San Antonio, TX 78258-4349 | 2010-07-13 |
| 1629307509 | Ryane Marie Cordero | Physician Assistant | 1139 E Sonterra Blvd Ste 205, San Antonio, TX 78258-4349 | 2009-12-23 |
| 1043446206 | Jeremy Lee Dickerson | Family Medicine | 1139 E Sonterra Blvd Ste 205, San Antonio, TX 78258-4349 | 2009-06-02 |
| 1417181967 | Kathryn Swann Holloway | Obstetrics & Gynecology | 1139 E Sonterra Blvd Ste 205, San Antonio, TX 78258-4349 | 2009-05-13 |
| 1093993537 | Stone Oak Womens Center Pa | Obstetrics & Gynecology | 1139 E Sonterra Blvd Ste 205, San Antonio, TX 78258 | 2008-02-06 |
| 1679785448 | Craig Russell Glauser | Orthopaedic Surgery | 1139 E Sonterra Blvd Ste 205, San Antonio, TX 78258-4349 | 2007-05-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356980163 | Jeffrey M. Martinez, M.d., P.a. | Surgery | 525 Centre Oak Drive, Suite 140, San Antonio, TX 78258 | 2019-12-26 |
| 1588226211 | New Life Brace and Limb, LLC | Prosthetist | 300 E. Sonterra Blvd., Suite 220, San Antonio, TX 78258 | 2019-07-02 |
| 1720649080 | Miguel Ibarra | Pharmacist | 18866 Stone Oak Pkwy., St.101, San Antonio, TX 78258 | 2019-06-26 |
| 1528538113 | Kevin Scott Farnsworth | Dentist | 1130 E. Sonterra Blvd Suite 100, San Antonio, TX 78258 | 2018-11-27 |
| 1891262176 | Dentists of Stone Oak, PC | Dentist | 23714 Hardy Oak Blvd, Suite 110, San Antonio, TX 78258 | 2018-10-25 |
| 1003399437 | Jesus Alcala | Physical Therapist | 20821 Us Hwy 281 N, Ste 110, San Antonio, TX 78258 | 2018-09-11 |
| 1184106544 | Marissa Kaye Bruton | Occupational Therapist | 505 Madison Oak, San Antonio, TX 78258 | 2018-09-02 |
| 1508346933 | Desiree Carroll | Occupational Therapy Assistant | 18803 Hardy Oak Drive, San Antonio, TX 78258 | 2018-08-15 |
| 1700376456 | Conner Jay Mcnabb | Optometrist | 810 Knights Cross Dr Ste 101, San Antonio, TX 78258 | 2018-05-17 |
| 1982191516 | Freehand Solutions LLC | Chiropractor | Nec Stone Oak Parkway & Loop 1604, San Antonio, TX 78258 | 2018-04-19 |
| Find all providers in zip 78258 | ||||
| Taxonomy Code | 207XX0004X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Foot and Ankle Surgery |
| Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, foot and ankle surgeons deal with adult reconstructive foot and ankle surgery, adult foot and ankle trauma, sports medicine foot and ankle, and children's foot and ankle reconstructive surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: title modified, definiton added, source added] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Separate board certification is not currently offered. ACGME Accredited Residency Program Requirements: 1 year of training with 5 years Orthopedic Surgery for a total of 6 years. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235114927 | Darryl D Cuda | Orthopaedic Surgery | 8800 Village Dr, Suite 101, San Antonio, TX 78217-5412 | 2005-12-14 |
| 1558660050 | Darryl D, Cuda, M.d. Pa | Orthopaedic Surgery | 540 Madison Oak Dr, Suite 350, San Antonio, TX 78258-3943 | 2011-03-23 |
| 1437458429 | Darryl D. Cuda, M.d. P.a. | Orthopaedic Surgery | 8715 Village Dr, Suite 120, San Antonio, TX 78217-5405 | 2011-03-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730647074 | Nix Physicians Inc. | Orthopaedic Surgery | 110 E Bandera Rd, Boerne, TX 78006-2802 | 2019-03-06 |
| 1598012148 | Douglas Odin Hansen | Orthopaedic Surgery | 6699 Chimney Rock Rd Ste 102, Houston, TX 77081-5339 | 2012-08-13 |
| 1881958940 | Michael James Frazier | Orthopaedic Surgery | 12609 Louetta Rd Ste B, Cypress, TX 77429-5136 | 2012-07-03 |
| 1952344657 | Andrew Marshall Ebert | Orthopaedic Surgery | 4611 Guadalupe St Ste 200, Austin, TX 78751-2928 | 2006-06-13 |
| 1013962810 | Stacy Anne Bacon | Orthopaedic Surgery | 21212 Northwest Fwy Ste 605, Cypress, TX 77429-5889 | 2006-05-23 |
| 1134189178 | Texas Tech University Health Sciences Center El Paso | Orthopaedic Surgery | 4801 Alberta Ave., 230c, El Paso, TX 79905 | 2006-03-24 |
| 1679544308 | William C Mcgarvey | Orthopaedic Surgery | 23920 Katy Freeway, Ste 160, Katy, TX 77494 | 2006-01-31 |
| 1629682919 | Central Texas Orthopaedic Foot and Ankle Center, Pllc | Orthopaedic Surgery | 5100 Franklin Ave, Waco, TX 76710-6922 | 2020-09-03 |
| 1023654258 | Chad M Kennedy Md Pa | Orthopaedic Surgery | 1600 S Coulter St Ste B, Amarillo, TX 79106-0703 | 2019-11-22 |
| 1770987422 | All Pro Rehabilitation, LLC | Orthopaedic Surgery | 4444 Heritage Trace Pkwy, Ste 404, Fort Worth, TX 76244 | 2014-10-09 |
| Find all providers with the same taxonomy | ||||
| City | SAN ANTONIO |
| Zip Code | 78258 |
Please comment or provide details below to improve the information on DR. MARK M CASILLAS.
| 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.