South Texas Foot Surgeons, P.a.

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

1132 Issued in TX

Legal business name

SOUTH TEXAS FOOT SURGEONS, P.A.

Practice address

5282 Medical Dr
Suite 260
San Antonio, TX 78229-4849

Phone

(210) 616-0819

Fax

(210) 692-9529

NPI assigned

Oct 23, 2006

Last updated

Aug 19, 2020By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Shay Fish, DPMNPI 1134217516

Title

President

Phone

(210) 616-0819

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Progressive Podiatry Centers, PA Former legal business name

Medicare fee-for-service enrollment

Enrolled in TX2 enrollments

Enrollment records 2

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Shay Fish, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Kerrville, TX
  • NPI 1134217516
  Medicare reassignment Care Compare group NPD Authorized official
• Ian Vandergulik, DPM

  • Foot & Ankle Surgery Podiatrist
  • San Antonio, TX
  • NPI 1033733852
  Medicare reassignment Care Compare group NPD
• Vahe Matnishian

  • Primary Podiatric Medicine Podiatrist
  • Stuart, FL
  • NPI 1144843111

  TX

  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597795200000",
    "number": "1013090349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 690548",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782690548",
            "telephone_number": "210-616-0819",
            "fax_number": "210-692-9529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5282 MEDICAL DR",
            "address_2": "SUITE 260",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782294849",
            "telephone_number": "210-616-0819",
            "fax_number": "210-692-9529"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH TEXAS FOOT SURGEONS, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-23",
        "last_updated": "2020-08-19",
        "certification_date": "2020-08-19",
        "status": "A",
        "authorized_official_last_name": "FISH",
        "authorized_official_first_name": "SHAY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "210-616-0819",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Podiatrist",
            "state": "TX",
            "license": "1132",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "TX",
            "license": "1132",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "156698601",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Progressive Podiatry Centers, PA",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Progressive Podiatry Centers, PA",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• South Texas Diagnostics
• South Texas ENT Consultants PA
• South Texas Eye Glass LLC (South Texas Eye Optical)
• South Texas Family Medicine and Urgent Care Center
• South Texas Foot Institute, P.a.
• South Texas Health & Wellness, LLC
• South Texas Health Alliance
• South Texas Health Alliance (Lone Star Neurosurgery)
• South Texas Health Alliance
• South Texas Healthcare Inc

• Foot & Ankle Surgery Podiatrist in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Foot & Ankle Surgery Podiatrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.