North Texas Orthopedics Surgical Partners PLLC

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

Legal business name

NORTH TEXAS ORTHOPEDICS SURGICAL PARTNERS PLLC

Practice address

2535 Ira E Woods Ave
Grapevine, TX 76051-3930

Phone

(817) 527-0361

Fax

(817) 488-4493

NPI assigned

Jan 15, 2019

Organization subpart

No

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

Authorized official

Name

Kerry Donegan, MDNPI 1972509412

Title

Manager

Phone

(817) 527-0361

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kerry Michael Donegan, MD

  • Orthopaedic Surgery Physician
  • Grapevine, TX
  • NPI 1972509412
  Authorized official Same address or phone

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

{
    "created_epoch": "1547510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1547510400000",
    "number": "1326512161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9879",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773876879",
            "telephone_number": "800-785-8765",
            "fax_number": "281-453-1945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2535 IRA E WOODS AVE",
            "city": "GRAPEVINE",
            "state": "TX",
            "postal_code": "760513930",
            "telephone_number": "817-527-0361",
            "fax_number": "817-488-4493"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH TEXAS ORTHOPEDICS SURGICAL PARTNERS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-15",
        "last_updated": "2019-01-15",
        "status": "A",
        "authorized_official_last_name": "DONEGAN",
        "authorized_official_first_name": "KERRY",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "817-527-0361",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant, Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• North Texas Family Care Associates PA
• North Texas Medical Transport, LLC
• North Texas Sports and Orthopedic Center, PLLC
• NTDS Grapevine
• NTKC Management, LLC (North Texas Kidney Consultants)
• NTKC Management, LLC (North Texas Kidney Consultants)
• NTKC-DFW, PLLC (North Texas Kidney Consultants)

• Surgical Physician Assistant in Grapevine, TX
• Providers in Grapevine, TX by specialty
• Surgical Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2019; 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.