MEDICARE: DR. CAROLINE DIANE GAYNOR DPM

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	213ES0103X	Foot & Ankle Surgery Podiatrist	1909	TX
2	213ES0131X	Foot Surgery Podiatrist	1909	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	8BT931	OTHER	TX	BCBS
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1174515589
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CAROLINE DIANE GAYNOR DPM

Provider Business Mailing Address
First Line	:	11212 STATE HWY 151, MEDICAL PLAZA 1 STE. 370
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78251-4504
Country	:	US
Telephone Number	:	210-664-4700
Fax Number	:	210-314-1771

Provider Business Practice Location Address
First Line	:	11212 STATE HWY 151, MEDICAL PLAZA 1 STE. 370
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78251-4504
Country	:	US
Telephone Number	:	210-664-4700
Fax Number	:	210-314-1771

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/22/2005
Last Update Date	:	05/07/2025

Similar Medicare Providers

1881914000 — GRUPO MEDICO POLICLINICA SAN PEDRO MEDICARE ADVANTAGE
Practice Location Address:

211 CALLE MORSE
ARROYO, PR
00714-2350

Practice Phone: 787-839-3980
Practice Fax: 787-271-2515

1710117817 — THE PODIATRY GROUP OF SOUTH TEXAS, PA
Practice Location Address:

11212 HIGHWAY 151 STE 390
SAN ANTONIO, TX
78251-4504

Practice Phone: 210-829-1880
Practice Fax: 210-822-6551

1821220005 — THE PODIATRY GROUP OF SOUTH TEXAS, PA
Practice Location Address:

11212 HIGHWAY 151 STE 390
SAN ANTONIO, TX
78251-4504

Practice Phone: 210-829-1880
Practice Fax: 210-822-6551

1336584093 — PREMIER PAIN CONSULTANTS, PLLC
Practice Location Address:

11212 STATE HIGHWAY 151 STE 360
SAN ANTONIO, TX
78251-4504

Practice Phone: 210-616-9400
Practice Fax: 210-616-9402

1740708957 — ADEDEJI ASSOCIATES PLLC
Practice Location Address:

11212 STATE HIGHWAY 151 , STE 200 MEDICAL PLAZA 1
SAN ANTONIO, TX
78251-4504

Practice Phone: 210-339-2293
Practice Fax: 844-427-8169

1467958538 — SAN ANTONIO FOOT AND ANKLE CENTER, LLC
Practice Location Address:

11212 STATE HWY 151, MEDICAL PLAZA 1 STE. 370
SAN ANTONIO, TX
78251-4504

Practice Phone: 210-664-4700
Practice Fax: 210-314-1771

Directions to “ DR. CAROLINE DIANE GAYNOR DPM” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.