Active NPI
Mark M. Casillas, M.D., P.a.
Doing business as Foot and Ankle Center of South Texas
- Orthopaedic Surgery Physician
- San Antonio, TX
National Provider Identifier
1174772461
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- J1917
- Legal business name
- MARK M. CASILLAS, M.D., P.A.
- Doing business as
- Foot and Ankle Center of South Texas
- Practice address
- 414 Navarro St
Suite 1616
San Antonio, TX 78205-2516 - Phone
- (210) 224-2655
- Fax
- (866) 644-0889
- NPI assigned
- Sep 11, 2008
- Last updated
- Dec 2, 2009
- 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
- Ms. Michelle Fleming
- Title
- Office Manager
- Phone
- (210) 224-2655
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | J1917 | TX | Primary |
Addresses
Primary practice location
414 Navarro St
Suite 1616
San Antonio, TX 78205-2516
Mailing address
414 Navarro St
Suite 1616
San Antonio, TX 78205-2516
Phone (210) 224-2655
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1999781 | Medicaid | TX |
Other names 1
- Foot and Ankle Center of South Texas
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
Locations
414 Navarro St
Ste 1616
San Antonio, TX 78205
Phone (210) 224-2655
Practitioners & affiliated clinicians
Practitioners 2
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.
-
- Orthopaedic Surgery Physician
- Tacoma, WA
- NPI 1336329127
-
- Orthopaedic Surgery Physician
- Silverdale, WA
- NPI 1326223009
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1221091200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1259712000000",
"number": "1174772461",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "414 NAVARRO ST",
"address_2": "SUITE 1616",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782052516",
"telephone_number": "210-224-2655",
"fax_number": "866-644-0889"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "414 NAVARRO ST",
"address_2": "SUITE 1616",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782052516",
"telephone_number": "210-224-2655",
"fax_number": "866-644-0889"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MARK M. CASILLAS, M.D., P.A.",
"organizational_subpart": "NO",
"enumeration_date": "2008-09-11",
"last_updated": "2009-12-02",
"status": "A",
"authorized_official_last_name": "FLEMING",
"authorized_official_first_name": "MICHELLE",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "210-224-2655",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "TX",
"license": "J1917",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1999781",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Foot and Ankle Center of South Texas",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in San Antonio, TX
- Mark Drogin, M.D. P.a.
- Mark H. Tompkins, D.P.M., P.C.
- Mark Jones Ministries
- Mark K Davis & Associates, PA (Alamo Eye Care)
- Mark Katz, MD PA (San Antonio Hand to Shoulder Orthopaedic Center)
- Mark Pinson Dba Best Care Home Health
- Mark S Jones, PLLC
- Catherine Festus Mark
- James E Mark, M.D.
- Jaron Evan Mark, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.