Active NPI
John Francis Prudich, M.D.
- Orthopaedic Surgery Physician
- McKinney, TX
National Provider Identifier
1457486680
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- G3706
- Practice address
- 1441 N Redbud Blvd
Suite 121
McKinney, TX 75069-3224 - Phone
- (972) 562-5800
- Fax
- (972) 562-2240
- NPI assigned
- Feb 21, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | G3706 | TX | Primary |
Addresses
Primary practice location
1441 N Redbud Blvd
Suite 121
McKinney, TX 75069-3224
Mailing address
1441 N Redbud Blvd
Suite 121
McKinney, TX 75069-3224
Phone (972) 562-5800
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120326000026 | TX | Practitioner - Orthopedic Surgery | 7618137969 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine, Physician Assistant
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172016000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1457486680",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1441 N REDBUD BLVD",
"address_2": "SUITE 121",
"city": "MCKINNEY",
"state": "TX",
"postal_code": "750693224",
"telephone_number": "972-562-5800",
"fax_number": "972-562-2240"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1441 N REDBUD BLVD",
"address_2": "SUITE 121",
"city": "MCKINNEY",
"state": "TX",
"postal_code": "750693224",
"telephone_number": "972-562-5800",
"fax_number": "972-562-2240"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRUDICH",
"first_name": "JOHN",
"middle_name": "FRANCIS",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-21",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "TX",
"license": "G3706",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in McKinney, TX
- David Michael Proost, PHD
- Prosper Ketamine & IV Nutrition Therapy LLC
- Prosper Womens Health PLLC
- Valerie Prosser
- Prudent Family Dentistry of McKinney PLLC
- Psychiatric Associates of McKinney
- Psychiatric Group, P.a.
- Psychmed Innovative Solutions
- PT Concepts of McKinney West, LLC
- Pukapllc (Family Dental of McKinney)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.