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PEDIATRIC ORTHOPEDIC ASSOCIATES OF SAN ANTONIO NPI 1528003076


NPI Information

NPI: 1528003076
Provider Name: PEDIATRIC ORTHOPEDIC ASSOCIATES OF SAN ANTONIO
Classification: Orthopaedic Surgery - 207XP3100X
Entity Type: Organization

Specialization: Pediatric Orthopaedic Surgery

CLIA Number: 45D0501423

Address:
4499 MEDICAL DR.
SUITE 235
SAN ANTONIO, TX
ZIP 78229
Phone: (210) 692-1613
Get Directions

PEDIATRIC ORTHOPEDIC ASSOCIATES OF SAN ANTONIO is a pediatric orthopaedic surgery orthopaedic surgery in San Antonio, TX. The provider is an orthopedic surgeon who has additional training and experience in diagnosing, treating and managing musculoskeletal problems in infants, children and adolescents. These may include limb and spine deformities (such as club foot, scoliosis); gait abnormalities (limping); bone and joint infections; broken bones. PEDIATRIC ORTHOPEDIC ASSOCIATES OF SAN ANTONIO NPI is 1528003076. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

4499 MEDICAL DR.
SUITE 235
SAN ANTONIO, TX
ZIP 78229-712
Phone: (210) 692-1613
Fax: (210) 616-0290

The provider's authorized official is Joey Welch .
The authorized official title is Practice Administrator and has the following contact phone number (210) 692-1613.

The CLIA number assigned to this NPI record is 45D0501423 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/18/2006 and was last updated on 2/6/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207XP3100XOrthopaedic SurgeryPediatric Orthopaedic SurgeryYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1121751505MEDICAIDTEXAS
2121751506OTHERTEXASCSHCN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.