Organization Active NPI

Huntsville Orthopedic Surgery

  • Orthopaedic Surgery Physician
  • Huntsville, TX
National Provider Identifier
1376506485
Registry record updated Jul 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
Legal business name
HUNTSVILLE ORTHOPEDIC SURGERY
Practice address
129 Medical Park Lane
Huntsville, TX 77340
Phone
(936) 291-3459
NPI assigned
Apr 10, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2008

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

Authorized official

Name
Mrs. Cindy Martin
Title
Office Manager
Phone
(936) 291-3459

Specialties & licenses 1

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

Addresses

Primary practice location

129 Medical Park Lane
Huntsville, TX 77340

Mailing address

129 Medical Park Lane
Huntsville, TX 77340
Phone (936) 291-3459

Other identifiers 1

IdentifierTypeStateIssuer
151372301MedicaidTX

National Provider Directory

National Provider Directory

Locations

643 Interstate 45 S
Huntsville, TX 77340
Phone (936) 291-3200

485 Ih 45 S
Huntsville, TX 77340
Phone (936) 291-4512

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": "1144627200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216080000000",
    "number": "1376506485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "129 MEDICAL PARK LANE",
            "city": "HUNTSVILLE",
            "state": "TX",
            "postal_code": "77340",
            "telephone_number": "936-291-3459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "129 MEDICAL PARK LANE",
            "city": "HUNTSVILLE",
            "state": "TX",
            "postal_code": "77340",
            "telephone_number": "936-291-3459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HUNTSVILLE ORTHOPEDIC SURGERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-10",
        "last_updated": "2008-07-15",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "CINDY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "936-291-3459",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "151372301",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntsville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2008; 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.