TEXAS OAKS ORTHOPAEDIC AND SPORTS MEDICINE INSTITUTE, P.A. (NPI# 1770031783) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770031783 |
| Entity Type | Organization |
| Organization Name | TEXAS OAKS ORTHOPAEDIC AND SPORTS MEDICINE INSTITUTE, P.A. |
| Practice Address |
8299 Fredericksburg Rd San Antonio TX 78229-3359 |
| Practice Telephone | 2107532663 |
| Mailing Telephone | 2107532663 |
| Mailing Fax Number | 2106177542 |
| Enumeration Date | 2016-09-19 |
| Last Update Date | 2019-11-07 |
| Authorized Official Name | DAVID M. GONZALEZ (PRESIDENT) |
| Authorized Official Telephone | 2107532663 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207XX0005X |
Orthopaedic Surgery Specialization: Sports Medicine |
F6677 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | GROUP MEDICARE PTAN | 539091 | 01 |
| TX | IND. MEDICARE PTAN | 539093ZW7 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1201 S Main St Ste 122, Boerne, TX 780062839 | 2107532663 | 2106177542 |
| 4318 Moonlight Way, San Antonio, TX 78230 | 2107532663 | 2106177542 |
| 525 Oak Centre Dr Ste 140, San Antonio, TX 782583916 | 2107532663 | 2106177542 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457998494 | Texas Oaks Orthopaedic and Sports Medicine Institute, P.a. | Orthopaedic Surgery | 12103 Huebner Rd, San Antonio, TX 78230-5000 | 2019-12-10 |
| 1033756382 | Texas Oaks Orthopaedic and Sports Medicine Institute, P.a. | Orthopaedic Surgery | 525 Oak Centre Dr Ste 140, San Antonio, TX 78258-3916 | 2019-12-05 |
| Street Address |
8299 FREDERICKSBURG RD |
| City | SAN ANTONIO |
| State | TX |
| Zip Code | 78229-3359 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326080219 | David M Gonzalez | Orthopaedic Surgery | 8299 Fredericksburg Rd, San Antonio, TX 78229-3359 | 2006-06-12 |
| 1619988870 | Immunobionomics Laboratory, Inc. | Clinical Medical Laboratory | 8299 Fredericksburg Rd, San Antonio, TX 78229-3359 | 2006-08-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245857226 | Lyndsey A Sandoval | Optometrist | 7400 Minton Miner St, San Antonio, TX 78229 | 2020-06-25 |
| 1295355311 | Nicolet Finger | Student in an Organized Health Care Education/Training Program | 7703 Floyd Curl Drive, Mc 7798, San Antonio, TX 78229 | 2020-04-18 |
| 1215557400 | Amy Elizabeth Werry | Clinical Neuropsychologist | 7703 Floyd Circle Drive, San Antonio, TX 78229 | 2020-04-17 |
| 1740822972 | Mohammad Safaie Yazdi | Student in an Organized Health Care Education/Training Program | Ut Health Science Center At San Antonio- Agdc, 8210 Floyd Curl Dr., Msc 8103, San Antonio, TX 78229 | 2019-10-09 |
| 1063053072 | Blas Edward Villa | Nurse Practitioner | 7703 Floyd Curl Drive Mc 7885 Pulmonary Diseases & Crit, Medicine, San Antonio, TX 78229 | 2019-10-01 |
| 1124673942 | Integrity Dme Services LLC | Durable Medical Equipment & Medical Supplies | 6323 Sovereign Dr, Suite # 170 Ab, San Antonio, TX 78229 | 2019-08-08 |
| 1730734120 | Marisa Erin Leyden | Speech-Language Pathologist | Joe R. & Teresa Lozano Long Campus, 7703 Floyd Curl Dr., San Antonio, TX 78229 | 2019-08-03 |
| 1285295741 | Alireza Ghezavati | Student in an Organized Health Care Education/Training Program | 7703 Floyd Curl Drive Mc 7750, Department of Pathology and Laboratory Medicine, San Antonio, TX 78229 | 2019-06-25 |
| 1407410285 | Denae Cheyenne Rushing | Student in an Organized Health Care Education/Training Program | 8201 Floyd Curl Drive, San Antonio, TX 78229 | 2019-04-26 |
| 1265993570 | Shehzad Amlani | Student in an Organized Health Care Education/Training Program | Address: 7703 Floyd Curl Dr, San Antonio, TX 78229 | 2019-03-28 |
| Find all providers in zip 78229 | ||||
| Taxonomy Code | 207XX0005X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Sports Medicine |
| An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton changed, source changed] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. ACGME Accredited Program Requirements: 1 year GME in the specialty + 5 years of Orthopaedic Surgery for a total of 6 years |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780897306 | Ty H Goletz M.d. Pa | Orthopaedic Surgery | 6800 W Interstate 10 Ste 250, San Antonio, TX 78201-2038 | 2007-05-08 |
| 1750880977 | Premier Orthopaedic Surgery and Sports Health Pllc | Orthopaedic Surgery | 9150 Huebner Rd Ste 390, San Antonio, TX 78240-1545 | 2018-02-02 |
| 1861894248 | St. Mary's University | Orthopaedic Surgery | 1 Camino Santa Maria St, San Antonio, TX 78228-5433 | 2014-09-17 |
| 1164863502 | Jose Sigala | Orthopaedic Surgery | 150 E Sonterra Blvd, Suite 300, San Antonio, TX 78258-4098 | 2013-07-15 |
| 1740577733 | Danilo Volpini | Orthopaedic Surgery | 4502 Medical Dr, San Antonio, TX 78229-4402 | 2011-06-29 |
| 1104143916 | Gregory Lane Naugher | Orthopaedic Surgery | 400 Concord Plaza Dr, Suite 300, San Antonio, TX 78216-6905 | 2010-05-03 |
| 1053577882 | Jamie Lynn Lynch | Orthopaedic Surgery | 18626 Hardy Oak Blvd Ste 101, San Antonio, TX 78258-4218 | 2008-07-31 |
| 1285781765 | Sports Medicine Associates of San Antonio, Pa | Orthopaedic Surgery | 21 Spurs Lane, Ste 340, San Antonio, TX 78240-1680 | 2007-01-05 |
| 1255441762 | Geoffrey M Millican | Orthopaedic Surgery | 7940 Floyd Curl Dr, Suite 560, San Antonio, TX 78229-3905 | 2006-08-30 |
| 1033191176 | Thomas M Deberardino | Orthopaedic Surgery | 400 Concord Plaza Dr, Ste 300, San Antonio, TX 78216-6905 | 2005-11-15 |
| Find all providers in SAN ANTONIO | ||||
| City | SAN ANTONIO |
| Zip Code | 78229 |
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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.