NPIMap

Organization Active NPI

The Podiatry Group of South Texas, PA

  • Durable Medical Equipment & Medical Supplies
  • San Antonio, TX
National Provider Identifier
1821220005
Registry record updated Dec 7, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
THE PODIATRY GROUP OF SOUTH TEXAS, PA
Practice address
11212 Highway 151 Ste 390
San Antonio, TX 78251-4504
Phone
(210) 829-1880
Fax
(210) 822-6551
NPI assigned
Aug 20, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2017

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

Authorized official

Name
Karen D Sinclair
Title
Operations Officer
Phone
(210) 227-8700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

11212 Highway 151 Ste 390
San Antonio, TX 78251-4504

Mailing address

5825 Callaghan Rd Ste 102
San Antonio, TX 78228-1106
Phone (210) 227-8700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930099094 TX DME Supplier - Physician - Podiatry 4183695521 Practice locations: San Antonio, TX

Other NPIs with the same Medicare PAC ID 5

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
The Podiatry Group of So TX6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1250726400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1512604800000",
    "number": "1821220005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5825 CALLAGHAN RD STE 102",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782281106",
            "telephone_number": "210-227-8700",
            "fax_number": "210-348-9130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11212 HIGHWAY 151 STE 390",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782514504",
            "telephone_number": "210-829-1880",
            "fax_number": "210-822-6551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE PODIATRY GROUP OF SOUTH TEXAS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-20",
        "last_updated": "2017-12-07",
        "status": "A",
        "authorized_official_last_name": "SINCLAIR",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OPERATIONS OFFICER",
        "authorized_official_telephone_number": "210-227-8700"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "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 Dec 7, 2017; 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.