Active NPI
Central Texas Pediatric Orthopedics and Scoliosis Surgery PA
- Pediatric Orthopaedic Surgery Physician
- Austin, TX
National Provider Identifier
1003959958
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Orthopaedic Surgery Physician
- Legal business name
- CENTRAL TEXAS PEDIATRIC ORTHOPEDICS AND SCOLIOSIS SURGERY PA
- Practice address
- 12201 Renfert Way
Suite 115
Austin, TX 78758-5354 - Phone
- (512) 478-8116
- Fax
- (512) 478-9368
- NPI assigned
- Feb 14, 2007
- Last updated
- Aug 8, 2008
- 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
- Dr. John Williams, MD
- Title
- President
- Phone
- (512) 478-8116
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | TX | ||
| Pediatric Orthopaedic Surgery Physician | 207XP3100X | TX | Primary |
Addresses
Primary practice location
12201 Renfert Way
Suite 115
Austin, TX 78758-5354
Mailing address
12201 Renfert Way
Suite 115
Austin, TX 78758-5354
Phone (512) 478-8116
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 162421504 | Other | TX | MEDICAID CSHCN |
| 00N43X | Other | TX | BCBS GROUP # |
| 1624215-03 | Medicaid | TX |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Orthopaedic Surgery of the Spine Physician
- Austin, TX
- NPI 1720052079
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171411200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1218153600000",
"number": "1003959958",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12201 RENFERT WAY",
"address_2": "SUITE 115",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787585354",
"telephone_number": "512-478-8116",
"fax_number": "512-478-9368"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12201 RENFERT WAY",
"address_2": "SUITE 115",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787585354",
"telephone_number": "512-478-8116",
"fax_number": "512-478-9368"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CENTRAL TEXAS PEDIATRIC ORTHOPEDICS AND SCOLIOSIS SURGERY PA",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-14",
"last_updated": "2008-08-08",
"status": "A",
"authorized_official_last_name": "WILLIAMS",
"authorized_official_first_name": "JOHN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "512-478-8116",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Orthopaedic Surgery",
"state": "TX",
"license": null,
"primary": false
},
{
"code": "207XP3100X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Orthopaedic Surgery, Pediatric Orthopaedic Surgery",
"state": "TX",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAID CSHCN",
"identifier": "162421504",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS GROUP #",
"identifier": "00N43X",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1624215-03",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Austin, TX
- Central Texas Pain Institute PLLC (Pain Specialists of Austin)
- Central Texas Pain Solutions
- Central Texas Palliative Care Associates (Austin Palliative Care)
- Central Texas Pediatric Dentistry, PA
- Central Texas Pediatric Endocrinology and Diabetes, P.a. (The Whole Child Clinic)
- Central Texas Pediatric Orthopedics and Scoliosis Surgery PA
- Central Texas Physical Therapy LLC
- Central Texas Psychological Assessment, PLLC
- Central Texas Retina and Vitreous, P.a.
- Central Texas Speech Pathology Services, Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.