Orthopaedic Surgery Center of San Antonio LP

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

007839 Issued in TX

Legal business name

ORTHOPAEDIC SURGERY CENTER OF SAN ANTONIO LP

Practice address

400 Concord Plaza Dr
Suite 200
San Antonio, TX 78216-6905

Phone

(210) 253-2660

Fax

(210) 253-2661

NPI assigned

Jun 17, 2006

Last updated

Jun 24, 2021By 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

Mr. Ronald Bullock

Title

Dir. of Clinical & Ambulatory Serv

Phone

(210) 253-2662

Specialties & licenses 1

Addresses

Other names 1

• Foundation Surgery Affiliate of San Antonio LP Former legal business name

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Orthopaedic Surgery Center of San Antonio LP

  dba Ridgewood Orthopaedic Surgery Center of San Antonio

  • Ambulatory Surgical Clinic/Center
  • San Antonio, TX
  • NPI 1376164475

  O20100126000386

  Same enrollment

Listed as

Orthopaedic Surgery Center of San Antonio LPCCN 45C0001306

Medicare certification status

ActiveFrom the Provider of Services file

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Ortho Surg Ctr San Antonio2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Orthopaedic Surgery Center of San Antonio LP

  dba Ridgewood Orthopaedic Surgery Center of San Antonio

  • Ambulatory Surgical Clinic/Center
  • San Antonio, TX
  • NPI 1376164475
  NPD tax ID

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Orthopaedic Surgery Center of San Antonio LP

  dba Ridgewood Orthopaedic Surgery Center of San Antonio

  • Ambulatory Surgical Clinic/Center
  • San Antonio, TX
  • NPI 1376164475
  NPPES parent name

Practitioners 1

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.

• Richard Louis Ursone, MD

  • Orthopaedic Surgery Physician
  • San Antonio, TX
  • NPI 1528059722
  NPD

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

{
    "created_epoch": "1150502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1624492800000",
    "number": "1083659866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 CONCORD PLAZA DR",
            "address_2": "SUITE 200",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782166905",
            "telephone_number": "210-253-2660",
            "fax_number": "210-253-2661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 CONCORD PLAZA DR",
            "address_2": "SUITE 200",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782166905",
            "telephone_number": "210-253-2660",
            "fax_number": "210-253-2661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORTHOPAEDIC SURGERY CENTER OF SAN ANTONIO LP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-17",
        "last_updated": "2021-06-24",
        "certification_date": "2021-06-24",
        "status": "A",
        "authorized_official_last_name": "BULLOCK",
        "authorized_official_first_name": "RONALD",
        "authorized_official_title_or_position": "DIR. OF CLINICAL & AMBULATORY SERV",
        "authorized_official_telephone_number": "210-253-2662",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "TX",
            "license": "007839",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "16.840.1.113883.3.667.2",
            "affiliationName": "Ability Network",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "100 N 6th St Ste 900A",
            "city": "Minneapolis",
            "state": "MN",
            "country_code": "US",
            "postal_code": "554031516",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Foundation Surgery Affiliate of San Antonio LP",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Foundation Surgery Affiliate of San Antonio LP",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Ortho-Tex Inc. (RH Medical)
• Orthoify PLLC
• Orthopaedic & Neuromuscular Rehabilitation Institute (Physical Rehabilitation Institute)
• Orthopaedic & Spine Institute LLC
• Orthopaedic San Antonio PLLC (Orthopaedic San Antonio)
• Orthopaedic Surgery Center of San Antonio LP (Ridgewood Orthopaedic Surgery Center of San Antonio)
• Orthopartners Inc (Restore POC)
• Orthopartners Inc.
• Orthopedic & Spine Surgical Hospital of South Texas, L.P. (South Texas Spine & Surgical Hospital)
• Orthopedic & Spine Surgical Hospital of South Texas, L.P. (South Texas Spine & Surgical Hospital, L. P.)

• Ambulatory Surgical Clinic/Center in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Ambulatory Surgical Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.