SOUTH TEXAS ORTHOPEDIC SPECIALTY GROUP, PLLC
NPI 1114290624
Orthopaedic Surgery - Sports Medicine in San Antonio, TX
- Organization
- Orthopaedic Surgery
- Sports Medicine
- Accepts Insurance
About SOUTH TEXAS ORTHOPEDIC SPECIALTY GROUP, PLLC
This page provides the complete NPI Profile along with additional information for South Texas Orthopedic Specialty Group, Pllc, a provider established in San Antonio, Texas operating as a Orthopaedic Surgery, focusing in sports medicine . The healthcare provider is registered in the NPI registry with number 1114290624 assigned on February 2012. The practitioner's primary taxonomy code is 207XX0005X. The provider is registered as an organization and their NPI record was last updated 5 years ago. South Texas Orthopedic Specialty Group, Pllc operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Dr. Dmitry Tuder M.d. (Authorized Official)
- NPI
- 1114290624 Verify this NPI
- Provider Name
- SOUTH TEXAS ORTHOPEDIC SPECIALTY GROUP, PLLC
- Entity Type
- Organization
- Location Address
- 10010 ROGERS XING STE 308 SAN ANTONIO, TX 78251
- Location Phone
- (210) 598-5605
- Location Fax
- (210) 598-5620
- Mailing Address
- 10010 ROGERS XING STE 308 SAN ANTONIO, TX 78251
- Mailing Phone
- (210) 598-5605
- Mailing Fax
- (210) 598-5620
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 02-14-2012
- Last Update Date
- 01-05-2022
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Orthopaedic Surgery Sports Medicine
- Taxonomy Code
- 207XX0005X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 207XS0106X | Allopathic & Osteopathic Physicians | Orthopaedic Surgery | |
| 2 | 2081P2900X | Allopathic & Osteopathic Physicians | Physical Medicine & Rehabilitation | |
| 3 | 213ES0103X | Podiatric Medicine & Surgery Service Providers | Podiatrist | |
| 4 | 363LF0000X | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner |
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Molina Gold Core 1640 - HMO
- Molina Gold Core 1640 Plus with Adult Dental and Vision - HMO
- Molina Gold Core 1640 Plus with Adult Vision - HMO
- Molina Gold Saver 750 - HMO
- Molina Gold Saver 750 Plus with Adult Dental and Vision - HMO
- Molina Gold Saver 750 Plus with Adult Vision - HMO
- Molina Gold Standard - HMO
- Molina Silver Core - HMO
- Molina Silver Core Plus with Adult Dental and Vision - HMO
- Molina Silver Core Plus with Adult Vision - HMO
- Molina Silver Saver with Four Free PCP Visits - HMO
- Molina Silver Standard - HMO
- Wellpoint Essential Bronze 4000 HSA (+ Incentives) - HMO
- Wellpoint Essential Bronze 6000 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
- Wellpoint Essential Bronze 6000 Adult Dental/Vision ($0 Virtual PCP+$0 Select Drugs) - HMO
- Wellpoint Essential Bronze 7500 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
- Wellpoint Essential Bronze POS 4500 ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
- Wellpoint Essential Bronze POS 5500 ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
- Wellpoint Essential Bronze POS 7500 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
- Wellpoint Essential Catastrophic (+ Incentives) - HMO
- Wellpoint Essential Gold 1500 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
- Wellpoint Essential Gold 2000 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
- Wellpoint Essential Gold 800 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
- Wellpoint Essential Gold POS 1000 ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
- Wellpoint Essential Gold POS 2000 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
- Wellpoint Essential Gold POS 700 ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
- Wellpoint Essential Silver 1850 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
- Wellpoint Essential Silver 3500 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
- Wellpoint Essential Silver 3500 Adult Dental/Vision ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
- Wellpoint Essential Silver 6000 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
- Wellpoint Essential Silver POS 2500 ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
- Wellpoint Essential Silver POS 4000 ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
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Other Providers at the Same Location
The following 6 providers are registered at the same or a nearby location.
SAN ANTONIO, TX 78251
SAN ANTONIO, TX 78251
SAN ANTONIO, TX 78251
SAN ANTONIO, TX 78251
SAN ANTONIO, TX 78251
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1114290624, enumerated as an "organization" on February 14, 2012.
The provider is located at 10010 ROGERS XING STE 308 SAN ANTONIO, TX 78251 and the phone number is (210) 598-5605.
Orthopaedic Surgery with taxonomy code 207XX0005X and a focus in Sports Medicine.
The provider might be accepting Accepts: Molina Healthcare and WellPoint. Please consult your insurance carrier or call the provider to verify.
