Texas Oaks Orthopaedic and Sports Medicine Institute, P.a.

Primary specialty

Sports Medicine (Orthopaedic Surgery) PhysicianTaxonomy code 207XX0005X

License

F6677 Issued in TX

Legal business name

TEXAS OAKS ORTHOPAEDIC AND SPORTS MEDICINE INSTITUTE, P.A.

Practice address

8299 Fredericksburg Rd
San Antonio, TX 78229-3359

Phone

(210) 753-2663

NPI assigned

Sep 19, 2016

Last updated

Nov 7, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

David M. Gonzalez, M.D.NPI 1326080219

Title

President

Phone

(210) 753-2663

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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.

• David M Gonzalez, M.D.

  • Orthopaedic Surgery Physician
  • San Antonio, TX
  • NPI 1326080219
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1474243200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1573084800000",
    "number": "1770031783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8299 FREDERICKSBURG RD",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782293359",
            "telephone_number": "210-753-2663",
            "fax_number": "210-617-7542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8299 FREDERICKSBURG RD",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782293359",
            "telephone_number": "210-753-2663"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4318 Moonlight Way",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "78230",
            "country_code": "US",
            "telephone_number": "210-753-2663",
            "fax_number": "210-617-7542",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "525 Oak Centre Dr Ste 140",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782583916",
            "country_code": "US",
            "telephone_number": "210-753-2663",
            "fax_number": "210-617-7542",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "TEXAS OAKS ORTHOPAEDIC AND SPORTS MEDICINE INSTITUTE, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-19",
        "last_updated": "2019-11-07",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "210-753-2663",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207XX0005X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "TX",
            "license": "F6677",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP MEDICARE PTAN",
            "identifier": "539091",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IND. MEDICARE PTAN",
            "identifier": "539093ZW7",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Texas Mobile Diagnostics
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• Texas Oaks Orthopaedic and Sports Medicine Institute, P.a.
• Texas Oaks Orthopaedic and Sports Medicine Institute, P.a.
• Texas Oaks Wellness Institute
• Texas Organ Sharing Alliance
• Texas Orthopedic and Blood Products, LLC
• Texas Orthopedics and Neurosurgery, PLLC
• Texas Pain Partners PLLC

• Sports Medicine (Orthopaedic Surgery) Physician in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Sports Medicine (Orthopaedic Surgery) Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2019; 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.