Center for Orthopaedics & Sports Medicine P a

Primary specialty

SpecialistTaxonomy code 174400000X

License

J3695 Issued in TX

Legal business name

CENTER FOR ORTHOPAEDICS & SPORTS MEDICINE P A

Practice address

425 Holderrieth Blvd Ste 208
Tomball, TX 77375-4552

Phone

(281) 357-5515

Fax

(281) 255-3440

NPI assigned

Feb 22, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Michael L Blackwell, M.D.NPI 1528021458

Title

Physician

Phone

(281) 357-5515

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 1

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

• Michael L. Blackwell, M.D.

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Tomball, TX
  • NPI 1528021458
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1172102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1754352000000",
    "number": "1306971197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 HOLDERRIETH BLVD STE 208",
            "city": "TOMBALL",
            "state": "TX",
            "postal_code": "773754552",
            "telephone_number": "281-357-5515",
            "fax_number": "281-255-3440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 HOLDERRIETH BLVD STE 208",
            "city": "TOMBALL",
            "state": "TX",
            "postal_code": "773754552",
            "telephone_number": "281-357-5515",
            "fax_number": "281-255-3440"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "26940 Kuykendahl Rd Ste 200",
            "address_purpose": "LOCATION",
            "city": "The Woodlands",
            "state": "TX",
            "postal_code": "773750159",
            "country_code": "US",
            "telephone_number": "281-357-5515",
            "fax_number": "281-781-2527",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4015 I 45 N Ste 230-1",
            "address_purpose": "LOCATION",
            "city": "Conroe",
            "state": "TX",
            "postal_code": "773045074",
            "country_code": "US",
            "telephone_number": "281-357-5515",
            "fax_number": "281-781-2527",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "22751 Professional Dr Ste 140",
            "address_purpose": "LOCATION",
            "city": "Kingwood",
            "state": "TX",
            "postal_code": "773396024",
            "country_code": "US",
            "telephone_number": "281-357-5515",
            "fax_number": "281-781-2527",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CENTER FOR ORTHOPAEDICS & SPORTS MEDICINE P A",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-22",
        "last_updated": "2025-08-05",
        "certification_date": "2025-08-05",
        "status": "A",
        "authorized_official_last_name": "BLACKWELL",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "281-357-5515",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "TX",
            "license": "J3695",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "157271101",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rosanne Darcera Castillo, RN, CVRN-BC
• Tashauna Renee Causey, CNP
• Cedarstone Home Therapy
• Tania U Celia, RN, PHD, NP-C
• Center for Medical Genetics, PLLC
• Center for Pulmonary & Sleep Disorders PA
• Centric RX
• Century Orthotics & Medical Equipment, LLC
• Mallory Cervas, RN
• Alida C Chacon Padilla, MSN, APRN, FNP-C

• Specialist in Tomball, TX
• Providers in Tomball, TX by specialty
• Specialist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2025; 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.