Organization Active NPI

Ortho Spine Surgery Institute PA

  • Orthopaedic Surgery of the Spine Physician
  • North Richland Hills, TX
National Provider Identifier
1386861698
Registry record updated Oct 3, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery of the Spine PhysicianTaxonomy code 207XS0117X
License
L4093 Issued in TX
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

Updated by the provider on Oct 3, 2011

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)CodeLicenseStatePrimary
Orthopaedic Surgery of the Spine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

Enrollment IDStateProvider typePAC IDDetails
O20051107000983 TX Part B Supplier - Clinic/Group Practice 3476571548 Receives reassigned benefits from 5 practitioners
Practice locations: North Richland Hills, TX

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 5

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": "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.

Verify at the official NPI Registry.