Active NPI
Foot and Ankle Treatment Center of San Antonio
- Foot & Ankle Surgery Podiatrist
- San Antonio, TX
National Provider Identifier
1679645196
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- 1642
- Legal business name
- FOOT AND ANKLE TREATMENT CENTER OF SAN ANTONIO
- Practice address
- 10114 Huebner Rd
San Antonio, TX 78240-1319 - Phone
- (210) 477-3668
- Fax
- (210) 558-0868
- NPI assigned
- Nov 14, 2006
- 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
- Dr. Jessica Fay Rutstein, DPM
- Title
- Physician
- Phone
- (210) 477-3668
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | 1642 | TX | Primary |
Addresses
Primary practice location
10114 Huebner Rd
San Antonio, TX 78240-1319
Mailing address
10114 Huebner Rd
San Antonio, TX 78240-1319
Phone (210) 477-3668
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DF8496 | Other | TX | RAILROAD MEDICARE |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service | Other | Ability Network |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163462400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1625529600000",
"number": "1679645196",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10114 HUEBNER RD",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782401319",
"telephone_number": "210-477-3668",
"fax_number": "210-558-0868"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10114 HUEBNER RD",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782401319",
"telephone_number": "210-477-3668",
"fax_number": "210-558-0868"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FOOT AND ANKLE TREATMENT CENTER OF SAN ANTONIO",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-14",
"last_updated": "2021-07-06",
"certification_date": "2021-07-06",
"status": "A",
"authorized_official_last_name": "RUTSTEIN",
"authorized_official_first_name": "JESSICA",
"authorized_official_middle_name": "FAY",
"authorized_official_title_or_position": "PHYSICIAN",
"authorized_official_telephone_number": "210-477-3668",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DPM"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "TX",
"license": "1642",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "DF8496",
"state": "TX"
}
],
"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": []
}
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 Jul 6, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.