Active NPI
Om Foot and Ankle Corp
- Foot & Ankle Surgery Podiatrist
- San Antonio, TX
National Provider Identifier
1932428000
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- 1939
- 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, 2014
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2164428-01 | Medicaid | TX |
National Provider Directory
National Provider DirectoryLocations
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.