Orthopaedic Surgery Center of San Antonio LP

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

ORTHOPAEDIC SURGERY CENTER OF SAN ANTONIO LP

Doing business as

Ridgewood Orthopaedic Surgery Center of San Antonio

Practice address

19138 N US Hwy 281
Ste 300
San Antonio, TX 78258-4988

Phone

(210) 253-2660

Fax

(210) 253-2661

NPI assigned

Apr 29, 2020

Last updated

Jun 24, 2021By the provider in NPPES

Organization subpart

Yes

Parent organization

ORTHOPAEDIC SURGERY CENTER OF SAN ANTONIO LPAs reported in NPPES

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

Authorized official

Name

Mr. Ronald Bullock

Title

Director of Ambulatory Services

Phone

(210) 489-7278

Specialties & licenses 1

Addresses

Other names 1

• Ridgewood Orthopaedic Surgery Center of San Antonio Doing business as

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

  • Ambulatory Surgical Clinic/Center
  • San Antonio, TX
  • NPI 1083659866

  O20100126000386

  Same enrollment

Listed as

Orthopaedic Surgery Center of San Antonio LP Dba Ridgewood Orthopaedic Surgery Center of San AntonioCCN 45C0001719

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

Part of

Ortho Surg Ctr San Antonio

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

  • Ambulatory Surgical Clinic/Center
  • San Antonio, TX
  • NPI 1083659866
  NPD tax ID

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Orthopaedic Surgery Center of San Antonio LP

  • Ambulatory Surgical Clinic/Center
  • San Antonio, TX
  • NPI 1083659866
  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": "1588118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1624492800000",
    "number": "1376164475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19138 N US HWY 281",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782584988",
            "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": "19138 N US HWY 281",
            "address_2": "STE 300",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782584988",
            "telephone_number": "210-253-2660",
            "fax_number": "210-253-2661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORTHOPAEDIC SURGERY CENTER OF SAN ANTONIO LP",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ORTHOPAEDIC SURGERY CENTER OF SAN ANTONIO LP",
        "enumeration_date": "2020-04-29",
        "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": "DIRECTOR OF  AMBULATORY SERVICES",
        "authorized_official_telephone_number": "210-489-7278",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "NU",
            "license": null,
            "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": "Ridgewood Orthopaedic Surgery Center of San Antonio",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Orthopaedic Surgery Center of San Antonio LP
• 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.)
• Orthopedic Performance Institute

• 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.