Active NPI
Back Mountain Orthopedics P.C.
- Orthopaedic Hand Surgery Physician
- Dallas, PA
National Provider Identifier
1073063079
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Hand Surgery Physician
- License
- MD024634E
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Hand Surgery Physician | 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 DirectoryLocations
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
- Dipti Jayantkumar Amin, DMD
- Ashley Andrejko, AU.D.
- Jessica Lynn Ashford, PHARMD
- Azimuth Occupational Therapy & Wellness
- Back Mountain Music Therapy, the Heyward Rooms LLC
- Back Mountain Pediatric Dentistry
- Back Mountain Pediatrics
- Back Mountain Regional Fire and EMS Inc
- Amy Lynn Balent, M.S., CCC-SLP/L,CBIS
- Eric Garn Barrett, M.D.
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.