San Antonio Foot and Ankle Center, LLC

Primary specialty

Foot Surgery PodiatristTaxonomy code 213ES0131X

License

1909 Issued in TX

Legal business name

SAN ANTONIO FOOT AND ANKLE CENTER, LLC

Practice address

11212 State Hwy 151, Medical Plaza 1 Ste. 370
San Antonio, TX 78251-4504

Phone

(210) 664-4700

Fax

(210) 314-1771

NPI assigned

Apr 5, 2018

Organization subpart

No

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

Authorized official

Name

Caroline Diane Gaynor, MDNPI 1174515589

Title

Owner

Phone

(210) 644-4700

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX2 enrollments

Enrollment records 2

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/18321/brand/1/csg/1/fhir/r4

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Caroline Diane Gaynor, DPM

  • Foot Surgery Podiatrist
  • San Antonio, TX
  • NPI 1174515589

  Foot & Ankle Surgery

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1522886400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1746576000000",
    "number": "1467958538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11212 STATE HWY 151, MEDICAL PLAZA 1 STE. 370",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "78251",
            "telephone_number": "210-644-4700",
            "fax_number": "210-314-1771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11212 STATE HWY 151, MEDICAL PLAZA 1 STE. 370",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782514504",
            "telephone_number": "210-664-4700",
            "fax_number": "210-314-1771"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5126 W Loop 1604 N Ste 110",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782514408",
            "country_code": "US",
            "telephone_number": "210-644-4700",
            "fax_number": "210-314-1771",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SAN ANTONIO FOOT AND ANKLE CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-05",
        "last_updated": "2025-05-07",
        "certification_date": "2025-04-25",
        "status": "A",
        "authorized_official_last_name": "GAYNOR",
        "authorized_official_first_name": "CAROLINE",
        "authorized_official_middle_name": "DIANE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "210-644-4700",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Podiatrist, Foot Surgery",
            "state": "TX",
            "license": "1909",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Foot Surgery Podiatrist in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Foot Surgery Podiatrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.