NPIMap

Organization Active NPI

Medical Center Orthopaedics PA

  • Orthopaedic Surgery Physician
  • San Antonio, TX
National Provider Identifier
1417066655
Registry record updated Nov 1, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
E1094 Issued in TX
Legal business name
MEDICAL CENTER ORTHOPAEDICS PA
Practice address
9512 Majestic Oak Cir
San Antonio, TX 78255-3449
Phone
(210) 698-0607
Fax
(210) 614-7745
NPI assigned
Aug 30, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2007

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

Authorized official

Name
Fred H Olin, M.D.
Title
President
Phone
(210) 698-0607

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207X00000X E1094 TX Primary

Addresses

Primary practice location

9512 Majestic Oak Cir
San Antonio, TX 78255-3449

Mailing address

9512 Majestic Oak Cir
San Antonio, TX 78255-3449
Phone (210) 698-0607

National Provider Directory

National Provider Directory

Locations

7950 Floyd Curl Dr
Ste 702
San Antonio, TX 78229
Phone (210) 614-1020

Practitioners & affiliated clinicians

Practitioners 4

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": "1156896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193875200000",
    "number": "1417066655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9512 MAJESTIC OAK CIR",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782553449",
            "telephone_number": "210-698-0607",
            "fax_number": "210-614-7745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9512 MAJESTIC OAK CIR",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782553449",
            "telephone_number": "210-698-0607",
            "fax_number": "210-614-7745"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL CENTER ORTHOPAEDICS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-30",
        "last_updated": "2007-11-01",
        "status": "A",
        "authorized_official_last_name": "OLIN",
        "authorized_official_first_name": "FRED",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "210-698-0607",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "TX",
            "license": "E1094",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2007; 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.