Greater San Antonio Podiatry PLLC

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

Legal business name

GREATER SAN ANTONIO PODIATRY PLLC

Practice address

12602 Toepperwein Rd Ste 205
Live Oak, TX 78233-3271

Phone

(210) 978-6505

NPI assigned

Dec 1, 2021

Last updated

Oct 3, 2023By 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

Rolando Santellana, DPMNPI 1528473501

Title

Authorized Official/Owner

Phone

(210) 447-7058

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TX2 enrollments

Enrollment records 2

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.

• Rolando R Santellana

  • Foot & Ankle Surgery Podiatrist
  • Live Oak, TX
  • NPI 1528473501

  Single Specialty

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1638316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696291200000",
    "number": "1861150468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1177",
            "city": "CONVERSE",
            "state": "TX",
            "postal_code": "781094177",
            "telephone_number": "210-447-7058",
            "fax_number": "210-447-7120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12602 TOEPPERWEIN RD STE 205",
            "city": "LIVE OAK",
            "state": "TX",
            "postal_code": "782333271",
            "telephone_number": "210-978-6505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREATER SAN ANTONIO PODIATRY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-01",
        "last_updated": "2023-10-03",
        "certification_date": "2023-10-03",
        "status": "A",
        "authorized_official_last_name": "SANTELLANA",
        "authorized_official_first_name": "ROLANDO",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL/OWNER",
        "authorized_official_telephone_number": "210-447-7058",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vanessa Gonzalez, AGACNP
• Jordan Taylor Gooch, PA-C
• Goodman Family Dental
• Cynthia Gordon, OTR/L
• Swapomthi Govindaraju
• David Guy Greathouse, PT, PHD, ECS, FAPTA
• Deborah Guajardo, SLP
• Kimberly Ann Guajardo, APRN, FNP-C
• Yesenia Mari Guerra, LPC
• Karen Tarm Guerrero, M.D.

• Foot & Ankle Surgery Podiatrist in Live Oak, TX
• Providers in Live Oak, TX by specialty
• Foot & Ankle Surgery Podiatrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2023; 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.