Organization Active NPI

Robert P Wunderlich DPM PA

  • Foot Surgery Podiatrist
  • San Antonio, TX
National Provider Identifier
1184812315
Registry record updated Nov 16, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot Surgery PodiatristTaxonomy code 213ES0131X
License
1395 Issued in TX
Legal business name
ROBERT P WUNDERLICH DPM PA
Practice address
1123 N Main Ave
#201
San Antonio, TX 78212-4740
Phone
(210) 281-9200
Fax
(210) 281-9734
NPI assigned
Oct 12, 2007
Last updated
Nov 16, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2007

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

Authorized official

Name
Dr. Robert Peter Wunderlich, D.P.M.NPI 1417951385
Title
Owner
Phone
(210) 281-9200

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0131X 1395 TX Primary

Addresses

Primary practice location

1123 N Main Ave
#201
San Antonio, TX 78212-4740

Mailing address

PO Box 12092
San Antonio, TX 78212-0092
Phone (210) 281-9200

National Provider Directory

National Provider Directory

Locations

1123 N Main Ave
Ste 201
San Antonio, TX 78212
Phone (210) 281-9200

1222 N Main Ave
#100
San Antonio, TX 78212
Phone 2102819200107

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1192147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1195171200000",
    "number": "1184812315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 12092",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782120092",
            "telephone_number": "210-281-9200",
            "fax_number": "210-281-9734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1123 N MAIN AVE",
            "address_2": "#201",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782124740",
            "telephone_number": "210-281-9200",
            "fax_number": "210-281-9734"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT P WUNDERLICH DPM PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-12",
        "last_updated": "2007-11-16",
        "status": "A",
        "authorized_official_last_name": "WUNDERLICH",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "PETER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "210-281-9200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot Surgery",
            "state": "TX",
            "license": "1395",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.