Organization Active NPI

South Texas Wound Associates, PA

  • Internal Medicine Physician
  • San Antonio, TX
National Provider Identifier
1780708016
Registry record updated Jan 21, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
SOUTH TEXAS WOUND ASSOCIATES, PA
Practice address
8811 Village Dr
Neb Wound Healing Center
San Antonio, TX 78217-5415
Phone
(210) 297-2520
Fax
(210) 297-2539
NPI assigned
Mar 19, 2007
Last updated
Jan 21, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2015

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

Authorized official

Name
Dr. Jayesh Shah, MDNPI 1962404830
Title
President
Phone
(210) 297-2520

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)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

8811 Village Dr
Neb Wound Healing Center
San Antonio, TX 78217-5415

Mailing address

PO Box 780764
San Antonio, TX 78278-0764
Phone (210) 289-5948

National Provider Directory

National Provider Directory

Locations

12200 Park Central Dr
Ste 405A
Dallas, TX 75251
Phone (972) 341-9696

3327 Research Plz
Ste 410
San Antonio, TX 78235

5418 N Loop 1604 W
#3
San Antonio, TX 78249

8811 Village Dr
Ste 1
San Antonio, TX 78217

Practitioners & affiliated clinicians

Practitioners 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421798400000",
    "number": "1780708016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 780764",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782780764",
            "telephone_number": "210-289-5948",
            "fax_number": "210-408-0117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8811 VILLAGE DR",
            "address_2": "NEB WOUND HEALING CENTER",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782175415",
            "telephone_number": "210-297-2520",
            "fax_number": "210-297-2539"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH TEXAS WOUND ASSOCIATES, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-19",
        "last_updated": "2015-01-21",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "JAYESH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "210-297-2520",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "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 Jan 21, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.