Organization Active NPI

Om Foot and Ankle Corp

  • Foot & Ankle Surgery Podiatrist
  • San Antonio, TX
National Provider Identifier
1932428000
Registry record updated Mar 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
1939 Issued in TX
Legal business name
OM FOOT AND ANKLE CORP
Practice address
7333 Barlite Blvd
Suite 110
San Antonio, TX 78224-1320
Phone
(210) 932-9221
Fax
(210) 572-9290
NPI assigned
May 27, 2010
Last updated
Mar 17, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2014

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

Authorized official

Name
Ms. Andrea Lugo
Title
Admin
Phone
(210) 932-9221

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 1939 TX Primary

Addresses

Primary practice location

7333 Barlite Blvd
Suite 110
San Antonio, TX 78224-1320

Mailing address

PO Box 40055
San Antonio, TX 78229-1055
Phone (210) 932-9221

Other identifiers 1

IdentifierTypeStateIssuer
2164428-01MedicaidTX

National Provider Directory

National Provider Directory

Locations

7333 Barlite Blvd
Ste 110
San Antonio, TX 78224
Phone (210) 802-7003

NPI Registry JSON

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

{
    "created_epoch": "1274918400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395014400000",
    "number": "1932428000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 40055",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782291055",
            "telephone_number": "210-932-9221",
            "fax_number": "210-572-9290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7333 BARLITE BLVD",
            "address_2": "SUITE 110",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782241320",
            "telephone_number": "210-932-9221",
            "fax_number": "210-572-9290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OM FOOT AND ANKLE CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-27",
        "last_updated": "2014-03-17",
        "status": "A",
        "authorized_official_last_name": "LUGO",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_title_or_position": "ADMIN",
        "authorized_official_telephone_number": "210-932-9221",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "TX",
            "license": "1939",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2164428-01",
            "state": "TX"
        }
    ],
    "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 Mar 17, 2014; 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.