Hill Country Orthopaedic Surgery & Sports Medicine MD PA

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

K1523 Issued in TX

Legal business name

HILL COUNTRY ORTHOPAEDIC SURGERY & SPORTS MEDICINE MD PA

Practice address

540 Madison Oak Dr
Suite 690
San Antonio, TX 78258-3943

Phone

(210) 491-4125

Fax

(210) 491-4138

NPI assigned

Dec 1, 2006

Organization subpart

No

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

Authorized official

Name

Wayne A Lee, MDNPI 1164406625

Title

President

Phone

(210) 491-4125

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Practitioners 1

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

• Wayne A Lee, MD

  • Orthopaedic Surgery Physician
  • San Antonio, TX
  • NPI 1164406625
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1164931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1348099200000",
    "number": "1265500920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13423 BLANCO RD",
            "address_2": "PMB 140",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782162187",
            "telephone_number": "210-491-4125",
            "fax_number": "210-491-4138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "540 MADISON OAK DR",
            "address_2": "SUITE 690",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782583943",
            "telephone_number": "210-491-4125",
            "fax_number": "210-491-4138"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HILL COUNTRY ORTHOPAEDIC SURGERY & SPORTS MEDICINE MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-01",
        "last_updated": "2012-09-20",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "WAYNE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "210-491-4125",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "TX",
            "license": "K1523",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "00979R",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "148990801",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hill Country Electrodiagnostics PLLC
• Hill Country Family Medicine, PLLC
• Hill Country Healthcare Systems LLC
• Hill Country Mobility
• Hill Country Neuropsychology, PLLC
• Hill Country Pain Associates, P.a.
• Hill Country Pain Associates, P.a.
• Hill Country Pain Associates, P.a.
• Hill Country Plastic Surgery
• Hill Country Psychotherapy Associates, PLLC

• Orthopaedic Surgery Physician in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Orthopaedic Surgery Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.