Creedmoor Orthopedics, P.a.

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

K4234 Issued in TX

Legal business name

CREEDMOOR ORTHOPEDICS, P.A.

Practice address

4212 E Southcross Blvd
Ste# 210
San Antonio, TX 78222-3735

Phone

(210) 448-1140

Fax

(210) 448-1144

NPI assigned

May 7, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Frank William Schroeder Jr., D.O.

Title

Ceo Creedmoor Orthopedics, PA

Phone

(956) 207-6458

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1178496000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1236556800000",
    "number": "1043423130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4212 E SOUTHCROSS BLVD",
            "address_2": "SUITE#210",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782223735",
            "telephone_number": "210-448-1140",
            "fax_number": "210-448-1144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4212 E SOUTHCROSS BLVD",
            "address_2": "STE# 210",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782223735",
            "telephone_number": "210-448-1140",
            "fax_number": "210-448-1144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CREEDMOOR ORTHOPEDICS, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-07",
        "last_updated": "2009-03-09",
        "status": "A",
        "authorized_official_last_name": "SCHROEDER",
        "authorized_official_first_name": "FRANK",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "CEO CREEDMOOR ORTHOPEDICS, PA",
        "authorized_official_telephone_number": "956-207-6458",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "TX",
            "license": "K4234",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "081147301",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.