Organization Active NPI

Deep South Orthopedics and Sports Medicine

  • Orthopaedic Surgery Physician
  • Nederland, TX
National Provider Identifier
1235358136
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
M4323 Issued in TX
Legal business name
DEEP SOUTH ORTHOPEDICS AND SPORTS MEDICINE
Practice address
2400 Highway 365
Suite 207
Nederland, TX 77627-6249
Phone
(409) 724-7407
Fax
(409) 724-7479
NPI assigned
Apr 25, 2007
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
Dr. Christopher Marrero, M.D.NPI 1548379258
Title
Physician
Phone
(409) 724-7407

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207X00000X M4323 TX Primary

Addresses

Primary practice location

2400 Highway 365
Suite 207
Nederland, TX 77627-6249

Mailing address

2400 Highway 365
Suite 207
Nederland, TX 77627-6249
Phone (409) 724-7407

National Provider Directory

National Provider Directory

Locations

2400 Highway 365
Ste 207
Nederland, TX 77627
Phone (409) 724-7407

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1177459200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1235358136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 HIGHWAY 365",
            "address_2": "SUITE 207",
            "city": "NEDERLAND",
            "state": "TX",
            "postal_code": "776276249",
            "telephone_number": "409-724-7407",
            "fax_number": "409-724-7479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 HIGHWAY 365",
            "address_2": "SUITE 207",
            "city": "NEDERLAND",
            "state": "TX",
            "postal_code": "776276249",
            "telephone_number": "409-724-7407",
            "fax_number": "409-724-7479"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEEP SOUTH ORTHOPEDICS AND SPORTS MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MARRERO",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "409-724-7407",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "TX",
            "license": "M4323",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nederland, 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.