Organization Active NPI

Back Mountain Orthopedics P.C.

  • Orthopaedic Hand Surgery Physician
  • Dallas, PA
National Provider Identifier
1073063079
Registry record updated Oct 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Hand Surgery PhysicianTaxonomy code 207XS0106X
License
MD024634E Issued in PA
Legal business name
BACK MOUNTAIN ORTHOPEDICS P.C.
Practice address
2800 Memorial Hwy
Suite 1
Dallas, PA 18612-1569
Phone
(570) 675-6737
Fax
(570) 675-7882
NPI assigned
Oct 13, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2016

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

Authorized official

Name
Dr. Thomas William Byron, M.D.
Title
Owner
Phone
(570) 675-6737

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Hand Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207XS0106X MD024634E PA Primary

Addresses

Primary practice location

2800 Memorial Hwy
Suite 1
Dallas, PA 18612-1569

Mailing address

2800 Memorial Hwy
Suite 1
Dallas, PA 18612-1569
Phone (570) 675-6737

National Provider Directory

National Provider Directory

Locations

2800 Memorial Hwy
Dallas, PA 18612
Phone (570) 675-6737

2800 Memorial Hwy
Ste 1
Dallas, PA 18612
Phone (570) 675-6737

NPI Registry JSON

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

{
    "created_epoch": "1476316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476316800000",
    "number": "1073063079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2800 MEMORIAL HWY",
            "address_2": "SUITE 1",
            "city": "DALLAS",
            "state": "PA",
            "postal_code": "186121569",
            "telephone_number": "570-675-6737",
            "fax_number": "570-675-7882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 MEMORIAL HWY",
            "address_2": "SUITE 1",
            "city": "DALLAS",
            "state": "PA",
            "postal_code": "186121569",
            "telephone_number": "570-675-6737",
            "fax_number": "570-675-7882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BACK MOUNTAIN ORTHOPEDICS P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-13",
        "last_updated": "2016-10-13",
        "status": "A",
        "authorized_official_last_name": "BYRON",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "570-675-6737",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207XS0106X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery, Hand Surgery",
            "state": "PA",
            "license": "MD024634E",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2016; 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.