Northeast Orthopaedics & Sports Medicine, LLP

Primary specialty

SpecialistTaxonomy code 174400000X

License

H5882 Issued in TX

Legal business name

NORTHEAST ORTHOPAEDICS & SPORTS MEDICINE, LLP

Practice address

8715 Village Dr
Suite 120
San Antonio, TX 78217-5405

Phone

(210) 477-5151

Fax

(210) 477-5152

NPI assigned

Jan 18, 2013

Organization subpart

No

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

Authorized official

Name

Dr. David Lester Fox, M.D.

Title

Managing Partner

Phone

(210) 477-5151

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1358467200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358467200000",
    "number": "1124366547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12709 TOEPPERWEIN RD",
            "address_2": "SUITE 101",
            "city": "LIVE OAK",
            "state": "TX",
            "postal_code": "782333258",
            "telephone_number": "210-477-5151",
            "fax_number": "210-477-5152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8715 VILLAGE DR",
            "address_2": "SUITE 120",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782175405",
            "telephone_number": "210-477-5151",
            "fax_number": "210-477-5152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHEAST ORTHOPAEDICS & SPORTS MEDICINE, LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-18",
        "last_updated": "2013-01-18",
        "status": "A",
        "authorized_official_last_name": "FOX",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "LESTER",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "210-477-5151",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "TX",
            "license": "H5882",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Northeast Endocrinolgy Associates
• Northeast Internal Medical Associates PLLC
• Northeast Medical Center Radiology, PA
• Northeast OB/GYN Associates, PLLC
• Northeast Orthopaedics & Sports Medicine, LLP
• Northeast Pediatric Associates PA
• Northeast Pulmonary & Sleep Associates Center LLC
• Northeast Texas Home Health Agency, LTD
• Northland Hearing Center Inc
• Northland Hearing Center, Inc.

• All providers in San Antonio, TX
• Specialist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2013; 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.