South Texas Wound Associates, PA

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

Organization subpart

No

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

Authorized official

Name

Dr. Jayesh Shah, MD

Title

President

Phone

(210) 297-2520

Specialties & licenses 1

Addresses

Other identifiers 3

Locations

Practitioners 3

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

• Neha Shah, PT

  • Physical Therapist
  • San Antonio, TX
  • NPI 1003185786
  NPD
• Sijimol John Mathew, ACNP

  • Acute Care Nurse Practitioner
  • Houston, TX
  • NPI 1528313145
  NPD (past)
• Suneeta Naik, M.D.

  • Family Medicine Physician
  • Universal City, TX
  • NPI 1245276732
  NPD (past)

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": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "00298U",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER NO.",
            "identifier": "00298U",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "155212702",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• South Texas Veterans Health Care System
• South Texas Veterans Health Care Systems
• South Texas Veterans Healthcare System
• South Texas Vision Associates, P.a.
• South Texas Womens Center for Incontinence & Laser Surgery PA
• Krystal Ashley South
• Southcross Emergency Physicians Group
• Southcross Hospital LLC
• Southcross Surgical Center, LLC
• Southeast Endodontic Group PC

• Internal Medicine Physician in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Internal Medicine Physician in Texas

• 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.