Waco Orthopedic Clinic

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

Legal business name

WACO ORTHOPEDIC CLINIC

Practice address

6600 Fish Pond Rd
Suite 201
Waco, TX 76710-2581

Phone

(254) 752-9638

Fax

(254) 752-2201

NPI assigned

Nov 15, 2006

Last updated

Apr 8, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jon Marc Goodnight, M.D.

Title

Physician Partner

Phone

(254) 752-9638

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 9

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.

• Oluwarotimi Oluwakemi Adesina, M.D.

  • Pediatric Sports Medicine Physician
  • Waco, TX
  • NPI 1164837514
  NPD (past)
• Kristin L Hill, APRN

  • Family Nurse Practitioner
  • Gatesville, TX
  • NPI 1770969800
  NPD (past)
• Makala Paige Reynoso

  • Family Nurse Practitioner
  • Waco, TX
  • NPI 1922862739
  NPD (past)
• Rebekah Schaper, DPT

  • Physical Therapist
  • Vidor, TX
  • NPI 1114067550
  NPD (past)
• Stephen Sierra, MD

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Waco, TX
  • NPI 1295228591
  NPD (past)
• Justin Deshaun Slaughter, DPT

  • Physical Therapist
  • Waco, TX
  • NPI 1013268572
  NPD (past)
• Brent J Bauer, MD

  • Orthopaedic Trauma Physician
  • Largo, MD
  • NPI 1033312632
  NPD (past)
• Breanna Bollar, PA-C

  • Physician Assistant
  • Colorado Springs, CO
  • NPI 1568128056
  NPD (past)
• Jason Paul Klein, MD

  • Orthopaedic Surgery Physician
  • Green Bay, WI
  • NPI 1922185990
  NPD (past)

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207612800000",
    "number": "1417020959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6600 FISH POND RD",
            "address_2": "SUITE 201",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767102581",
            "telephone_number": "254-752-9638",
            "fax_number": "254-752-2201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6600 FISH POND RD",
            "address_2": "SUITE 201",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767102581",
            "telephone_number": "254-752-9638",
            "fax_number": "254-752-2201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WACO ORTHOPEDIC CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-15",
        "last_updated": "2008-04-08",
        "status": "A",
        "authorized_official_last_name": "GOODNIGHT",
        "authorized_official_first_name": "JON",
        "authorized_official_middle_name": "MARC",
        "authorized_official_title_or_position": "PHYSICIAN PARTNER",
        "authorized_official_telephone_number": "254-752-9638",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "083305501",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Waco Nursing and Rehab Center LLC
• Waco OB GYN Associates
• Waco Ophthalmology Surgery Center, LLC
• Waco Ophthalmology, PLLC
• Waco Optical Inc
• Waco Otolaryngology Associates (Waco Ear, Nose & Throat)
• Waco Partnership for Psychological and Spritual Care
• Waco Pathology Associates, P.a.
• Waco Pediatric Health Associates
• Waco PM&R Group, PA

• Orthopaedic Surgery Physician in Waco, TX
• Providers in Waco, TX by specialty
• Orthopaedic Surgery Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 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.