SPORTS MEDICINE ASSOCIATES OF SAN ANTONIO, PA (NPI# 1801144522) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801144522 |
| Entity Type | Organization |
| Organization Name | SPORTS MEDICINE ASSOCIATES OF SAN ANTONIO, PA |
| Practice Address |
5921 Broadway St San Antonio TX 78209-5235 |
| Mailing Address |
21 Spurs Ln Ste 300 San Antonio TX 78240-1679 |
| Practice Telephone | 2108228326 |
| Practice Fax Number | 2108235429 |
| Mailing Telephone | 2108228326 |
| Mailing Fax Number | 2105617121 |
| Enumeration Date | 2012-08-28 |
| Last Update Date | 2014-09-11 |
| Authorized Official Name | WANDA BATCH (ADMINISTRATOR) |
| Authorized Official Telephone | 2108228326 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207QS0010X |
Family Medicine Specialization: Sports Medicine |
TX | Allopathic & Osteopathic Physicians | |
| N | 208100000X | Physical Medicine & Rehabilitation | TX | Allopathic & Osteopathic Physicians | |
| Y | 207XX0005X |
Orthopaedic Surgery Specialization: Sports Medicine |
TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | BCBS | 0051KV | 01 |
| TX | 164423902 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609124312 | Sports Medicine Associates of San Antonio, Pa | Physical Therapist | 5917 Broadway St, San Antonio, TX 78209-5235 | 2012-08-28 |
| 1285781765 | Sports Medicine Associates of San Antonio, Pa | Orthopaedic Surgery | 21 Spurs Lane, Ste 340, San Antonio, TX 78240-1680 | 2007-01-05 |
| 1861549503 | Sports Medicine Associates of San Antonio, Pa | Family Medicine | 21 Spurs Ln, Ste 300, San Antonio, TX 78240-1679 | 2007-01-04 |
| Street Address |
5921 BROADWAY ST |
| City | SAN ANTONIO |
| State | TX |
| Zip Code | 78209-5235 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891346359 | Westlake Dermatology of San Antonio Pllc | Dermatology | 5500 Broadway Ave Ste R100, Alamo Heights, TX 78209 | 2019-09-26 |
| 1265086045 | Westlake Dermatology, Pa | Dermatology | 5500 Broadway Ave, Alamo Heights, TX 78209 | 2019-07-30 |
| 1194207530 | Arthur Davies | Licensed Vocational Nurse | 8700 Crownhill Blvd #300, San Antonio, TX 78209 | 2018-09-01 |
| 1538649462 | Jessica Michelle Moore | Licensed Vocational Nurse | 8400 Crown Hill Blvd, San Antonio, TX 78209 | 2018-08-20 |
| 1871072645 | Olawunmi Olapeju Odele | Licensed Vocational Nurse | 8700 Crownhill Blvd. Ste.300, San Antonio, TX 78209 | 2018-08-12 |
| 1265921126 | Ashley L Garcia | Physician Assistant | 414 W Sunset Rd Ste 205, San Antonio, TX 78209 | 2018-05-07 |
| 1083117428 | New Choices Treatment Center LLC | Substance Abuse Rehabilitation Facility | 3050 Eisenhauer Rd Apt 501, San Antonio, TX 78209 | 2018-03-12 |
| 1629570106 | Julieta Rubio Hobbs | Counselor | 4301 Broadway St. 438, San Antonio, TX 78209 | 2018-03-01 |
| 1326550187 | Shannon Lee Crowley | Occupational Therapy Assistant | 403 Irvington Dr, San Antonio, TX 78209 | 2017-11-01 |
| 1932627007 | Juanita De Luna Salazar | Physical Therapist | 1635 Ne Interstate 410 Loop, #600, San Antonio, TX 78209 | 2017-09-08 |
| Find all providers in zip 78209 | ||||
| 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 |
| 1770031783 | Texas Oaks Orthopaedic and Sports Medicine Institute, P.a. | Orthopaedic Surgery | 8299 Fredericksburg Rd, San Antonio, TX 78229-3359 | 2016-09-19 |
| 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 |
| Find all providers in SAN ANTONIO | ||||
| City | SAN ANTONIO |
| Zip Code | 78209 |
Please comment or provide details below to improve the information on SPORTS MEDICINE ASSOCIATES OF SAN ANTONIO, 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.