Dogwood Orthopaedic Clinic, PA

Key facts

NPI

1477562726

Entity type

Organization (NPI type 2)

Primary specialty

Specialist 174400000X

License

G5595 (TX)

Legal business name

DOGWOOD ORTHOPAEDIC CLINIC, PA

Practice address

612 N High St
Suite a
Henderson, TX 75652-5914

Phone

(903) 657-1441

Fax

(903) 657-5886

NPI assigned

Aug 5, 2006

Organization subpart

No

Authorized official

Name

Dr. Roger C Sessions, M.D.

Title

President

Phone

(903) 657-1441

Corporate family (same tax ID) 1

Organizations that report the same tax identification number in the National Provider Directory.

• Dogwood Orthopaedic Clinic, PA Durable Medical Equipment & Medical Supplies · Jacksonville, TX · NPI 1821316498
  NPD tax ID

National Provider Directory

Tax ID family

Dogwood Orthopaedic Clinic PA (2 organizations share this tax ID)

Specialties & licenses

Addresses

Other identifiers

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on May 6, 2010.

{
    "created_epoch": "1154736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1273104000000",
    "number": "1477562726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "612 N HIGH ST",
            "address_2": "SUITE A",
            "city": "HENDERSON",
            "state": "TX",
            "postal_code": "756525914",
            "telephone_number": "903-657-1441",
            "fax_number": "903-657-5886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "612 N HIGH ST",
            "address_2": "SUITE A",
            "city": "HENDERSON",
            "state": "TX",
            "postal_code": "756525914",
            "telephone_number": "903-657-1441",
            "fax_number": "903-657-5886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOGWOOD ORTHOPAEDIC CLINIC, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-05",
        "last_updated": "2010-05-06",
        "status": "A",
        "authorized_official_last_name": "SESSIONS",
        "authorized_official_first_name": "ROGER",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "903-657-1441",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "TX",
            "license": "G5595",
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "TX",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID DME",
            "identifier": "085769002",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "085769001",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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