David G. Vanderweide, MD, PA

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

H5811 Issued in TX

Legal business name

DAVID G. VANDERWEIDE, MD, PA

Doing business as

Bay Area Orthopedic, Spine and Sports

Practice address

12827 Gulf Fwy
Houston, TX 77034-4807

Phone

(281) 481-2649

Fax

(281) 481-0080

NPI assigned

Jan 30, 2007

Last updated

Dec 18, 2007By 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

Mr. Michael Andrew Stockage

Title

Chief Operationg Officer

Phone

(281) 481-2649

Specialties & licenses 2

Addresses

Other identifiers 5

Other names 1

• Bay Area Orthopedic, Spine and Sports Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 3

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.

• David G. Vanderweide, M.D.

  • Orthopaedic Surgery Physician
  • Houston, TX
  • NPI 1396752978
  Medicare reassignment NPD
• Leslie Denise Hobbs, LPT

  • Physical Therapist
  • Houston, TX
  • NPI 1891836631
  NPD (past)
• Lanette L Meeks, LPT

  • Physical Therapist
  • Houston, TX
  • NPI 1700974490
  NPD (past)

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197936000000",
    "number": "1578600813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12827 GULF FWY",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770344807",
            "telephone_number": "281-481-2649",
            "fax_number": "281-481-0080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12827 GULF FWY",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770344807",
            "telephone_number": "281-481-2649",
            "fax_number": "281-481-0080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID G. VANDERWEIDE, MD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-30",
        "last_updated": "2007-12-18",
        "status": "A",
        "authorized_official_last_name": "STOCKAGE",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "ANDREW",
        "authorized_official_title_or_position": "CHIEF OPERATIONG OFFICER",
        "authorized_official_telephone_number": "281-481-2649",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "TX",
            "license": null,
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "TX",
            "license": "H5811",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HOBBS MEDICARE NO.",
            "identifier": "8J9385",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HOBBS RAILROAD MEDICARE #",
            "identifier": "P00425285",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LESLIE HOBBS NPI",
            "identifier": "1891836631",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DR. VANDERWEIDE'S NPI NO.",
            "identifier": "1396752978",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE GROUP #",
            "identifier": "DG2569",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bay Area Orthopedic, Spine and Sports",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Orthopaedic Surgery Physician in Houston, TX
• Providers in Houston, 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 Dec 18, 2007; 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.