Active NPI
Ortho Spine Surgery Institute PA
- Orthopaedic Surgery of the Spine Physician
- North Richland Hills, TX
National Provider Identifier
1386861698
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery of the Spine Physician
- License
- L4093
- Legal business name
- ORTHO SPINE SURGERY INSTITUTE PA
- Practice address
- 8801 N Tarrant Pkwy
North Richland Hills, TX 76182-8461 - Phone
- (817) 616-0700
- Fax
- (817) 616-0708
- NPI assigned
- Apr 19, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Jeff Phelps, MD
- Title
- Owner
- Phone
- (817) 616-0700
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery of the Spine Physician | 207XS0117X | L4093 | TX | Primary |
Addresses
Primary practice location
8801 N Tarrant Pkwy
North Richland Hills, TX 76182-8461
Mailing address
8801 N Tarrant Pkwy
North Richland Hills, TX 76182-8461
Phone (817) 616-0700
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 5
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- North Richland Hills, TX
- NPI 1104007178
-
- Nurse Practitioner
- Dallas, TX
- NPI 1447250014
-
- Orthopaedic Surgery of the Spine Physician
- North Richland Hills, TX
- NPI 1053365304
-
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- Mansfield, TX
- NPI 1831366475
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176940800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1317600000000",
"number": "1386861698",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8801 N TARRANT PKWY",
"city": "NORTH RICHLAND HILLS",
"state": "TX",
"postal_code": "761828461",
"telephone_number": "817-616-0700",
"fax_number": "817-616-0708"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8801 N TARRANT PKWY",
"city": "NORTH RICHLAND HILLS",
"state": "TX",
"postal_code": "761828461",
"telephone_number": "817-616-0700",
"fax_number": "817-616-0708"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ORTHO SPINE SURGERY INSTITUTE PA",
"organizational_subpart": "NO",
"enumeration_date": "2007-04-19",
"last_updated": "2011-10-03",
"status": "A",
"authorized_official_last_name": "PHELPS",
"authorized_official_first_name": "JEFF",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "817-616-0700",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207XS0117X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
"state": "TX",
"license": "L4093",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in North Richland Hills, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2011; 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.