Organization Active NPI

Longview Orthopaedic Clinic Association

  • Orthopaedic Surgery Physician
  • Longview, TX
National Provider Identifier
1053476259
Registry record updated Mar 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
Legal business name
LONGVIEW ORTHOPAEDIC CLINIC ASSOCIATION
Practice address
323 E Hawkins Pkwy Ste a
Longview, TX 75605-7905
Phone
(903) 758-2746
Fax
(903) 758-7127
NPI assigned
Dec 27, 2006
Last updated
Mar 30, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2021

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

Authorized official

Name
Lisa McPhee
Title
Office Manager
Phone
(903) 758-2746

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 0822150001 TX
Orthopaedic Surgery Physician 207X00000X NU Primary

Addresses

Primary practice location

323 E Hawkins Pkwy Ste a
Longview, TX 75605-7905

Mailing address

323 E Hawkins Pkwy Ste a
Longview, TX 75605-7905
Phone (903) 758-2746

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070302000187 TX Part B Supplier - Clinic/Group Practice 5799887105 Receives reassigned benefits from 18 practitioners
Practice locations: Longview, TX; Marshall, TX

National Provider Directory

National Provider Directory

Locations

1301 Eden Dr
Longview, TX 75605
Phone (903) 238-8085

323 E Hawkins Pkwy
Ste A
Longview, TX 75605
Phone (903) 758-2746

1806 E End Blvd N
Marshall, TX 75670
Phone (903) 524-0917

1806 E End Blvd N
Ste 650
Marshall, TX 75670
Phone 90375827460728

Practitioners & affiliated clinicians

Practitioners 18

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.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1167177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617062400000",
    "number": "1053476259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "323 E HAWKINS PKWY STE A",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756057905",
            "telephone_number": "903-758-2746",
            "fax_number": "903-758-7127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "323 E HAWKINS PKWY STE A",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756057905",
            "telephone_number": "903-758-2746",
            "fax_number": "903-758-7127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LONGVIEW ORTHOPAEDIC CLINIC ASSOCIATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-27",
        "last_updated": "2021-03-30",
        "certification_date": "2021-03-30",
        "status": "A",
        "authorized_official_last_name": "MCPHEE",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "903-758-2746"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "TX",
            "license": "0822150001",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Longview, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.