Active NPI
South Texas Orthopedic Specialty Group, PLLC
- Sports Medicine (Orthopaedic Surgery) Physician
- San Antonio, TX
National Provider Identifier
1114290624
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Medicine (Orthopaedic Surgery) Physician
- Legal business name
- SOUTH TEXAS ORTHOPEDIC SPECIALTY GROUP, PLLC
- Practice address
- 10010 Rogers Xing Ste 308
San Antonio, TX 78251-4776 - Phone
- (210) 598-5605
- Fax
- (210) 598-5620
- NPI assigned
- Feb 14, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Dmitry Tuder, M.D.
- Title
- Authorized Official
- Phone
- (210) 598-5605
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Hand Surgery Physician | 207XS0106X | |||
| Sports Medicine (Orthopaedic Surgery) Physician | 207XX0005X | Primary | ||
| Pain Medicine (Physical Medicine & Rehabilitation) Physician | 2081P2900X | |||
| Foot & Ankle Surgery Podiatrist | 213ES0103X | |||
| Family Nurse Practitioner | 363LF0000X |
Addresses
Primary practice location
10010 Rogers Xing Ste 308
San Antonio, TX 78251-4776
Mailing address
10010 Rogers Xing Ste 308
San Antonio, TX 78251-4776
Phone (210) 598-5605
National Provider Directory
National Provider DirectoryLocations
7500 Barlite Blvd
Ste 311
San Antonio, TX 78224
Phone (210) 598-5605
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Orthopaedic Surgery Physician
- San Antonio, TX
- NPI 1023048725
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1329177600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1641340800000",
"number": "1114290624",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10010 ROGERS XING STE 308",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782514776",
"telephone_number": "210-598-5605",
"fax_number": "210-598-5620"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10010 ROGERS XING STE 308",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782514776",
"telephone_number": "210-598-5605",
"fax_number": "210-598-5620"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOUTH TEXAS ORTHOPEDIC SPECIALTY GROUP, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2012-02-14",
"last_updated": "2022-01-05",
"certification_date": "2021-09-07",
"status": "A",
"authorized_official_last_name": "TUDER",
"authorized_official_first_name": "DMITRY",
"authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
"authorized_official_telephone_number": "210-598-5605",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207XS0106X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Orthopaedic Surgery, Hand Surgery",
"state": null,
"license": null,
"primary": false
},
{
"code": "207XX0005X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Orthopaedic Surgery, Sports Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "2081P2900X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Medicine & Rehabilitation, Pain Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "213ES0103X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": null,
"license": null,
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Antonio, TX
- South Texas Ophthalmology & Associates
- South Texas Orthodontics
- South Texas Orthopaedic & Spinal Surgery Associates P.a.
- South Texas Orthopaedic Associates
- South Texas Orthopedic Assistants
- South Texas Pain & Recovery Center LLC
- South Texas Pain and Recovery Center, LLC
- South Texas Pain Specialists, PA
- South Texas Pathology Associates LLP
- South Texas Perinatal Cardiology
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.