Active NPI
Ursus Mobile Medical PLLC
- Podiatrist
- San Antonio, TX
National Provider Identifier
1215260344
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- 0475
- Legal business name
- URSUS MOBILE MEDICAL PLLC
- Practice address
- 8500 Village Dr
Suite 201
San Antonio, TX 78217-5515 - Phone
- (210) 656-7000
- Fax
- (210) 656-7002
- NPI assigned
- Sep 8, 2009
- Last updated
- Sep 8, 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
- Larry Joe Cohen, DPM
- Title
- Owner
- Phone
- (210) 656-7000
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | 0475 | TX | Primary |
Addresses
Primary practice location
8500 Village Dr
Suite 201
San Antonio, TX 78217-5515
Mailing address
12333 Wetmore Rd
San Antonio, TX 78247-3638
Phone (210) 495-6477
National Provider Directory
National Provider DirectoryPractitioners & 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.
-
- Podiatrist
- San Antonio, TX
- NPI 1952425266
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1252368000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1252368000000",
"number": "1215260344",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12333 WETMORE RD",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782473638",
"telephone_number": "210-495-6477",
"fax_number": "210-495-6484"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8500 VILLAGE DR",
"address_2": "SUITE 201",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782175515",
"telephone_number": "210-656-7000",
"fax_number": "210-656-7002"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "URSUS MOBILE MEDICAL PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2009-09-08",
"last_updated": "2009-09-08",
"status": "A",
"authorized_official_last_name": "COHEN",
"authorized_official_first_name": "LARRY",
"authorized_official_middle_name": "JOE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "210-656-7000",
"authorized_official_credential": "DPM"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "TX",
"license": "0475",
"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 Sep 8, 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.