Organization Active NPI

Georgetown Orthopedics

  • Orthopaedic Surgery Physician
  • Georgetown, TX
National Provider Identifier
1114123676
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
Legal business name
GEORGETOWN ORTHOPEDICS
Practice address
1904 Railroad St
Georgetown, TX 78626-7718
Phone
(512) 863-4563
Fax
(512) 869-5899
NPI assigned
Jun 22, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Jimmy C Hausenfluke
Title
Administrator
Phone
(512) 863-4563

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X NU Primary

Addresses

Primary practice location

1904 Railroad St
Georgetown, TX 78626-7718

Mailing address

1904 Railroad St
Georgetown, TX 78626-7718
Phone (512) 863-4563

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1182470400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1114123676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1904 RAILROAD ST",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786267718",
            "telephone_number": "512-863-4563",
            "fax_number": "512-869-5899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1904 RAILROAD ST",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786267718",
            "telephone_number": "512-863-4563",
            "fax_number": "512-869-5899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEORGETOWN ORTHOPEDICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HAUSENFLUKE",
        "authorized_official_first_name": "JIMMY",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "512-863-4563",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Georgetown, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.