John Peter Smith Hospital Orthopedics

Primary specialty

General Acute Care HospitalTaxonomy code 282N00000X

License

P1268 Issued in TX

Legal business name

JOHN PETER SMITH HOSPITAL ORTHOPEDICS

Practice address

1500 S Main St
Fort Worth, TX 76104-4917

Phone

(817) 927-1321

NPI assigned

Feb 14, 2012

Last updated

Feb 14, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Russell WagnerNPI 1154365013

Title

Program Director

Phone

(817) 927-1370

Specialties & licenses 1

Addresses

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.

• Russell Wagner, MD

  • Orthopaedic Surgery Physician
  • Fort Worth, TX
  • NPI 1154365013
  Authorized official Same address or phone

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

{
    "created_epoch": "1329177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329177600000",
    "number": "1093088684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 S MAIN ST",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761044917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 S MAIN ST",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761044917",
            "telephone_number": "817-927-1321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN PETER SMITH HOSPITAL ORTHOPEDICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-14",
        "last_updated": "2012-02-14",
        "status": "A",
        "authorized_official_last_name": "WAGNER",
        "authorized_official_first_name": "RUSSELL",
        "authorized_official_title_or_position": "PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "817-927-1370"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "TX",
            "license": "P1268",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Miers DO
• John Peter Smith Health Network
• John Peter Smith Hospital
• John Peter Smith Hospital
• John Peter Smith Hospital
• John S Rubin, DDS, PA (Montgomery Plaza Dental)
• John W Johnson III MD PA
• John W Obbink, Jr. M.D., P.a.
• Joanna Sara John, MD
• Crystal Raelene Johns, FNP-C

• General Acute Care Hospital in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• General Acute Care Hospital in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2012; 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.