Orthopedic Specialists of Texarkana PLLC

Primary specialty

SpecialistTaxonomy code 174400000X

License

G2594 Issued in TX

Legal business name

ORTHOPEDIC SPECIALISTS OF TEXARKANA PLLC

Practice address

1002 Texas Blvd.
Suite 501
Texarkana, TEXAS 75501
UM

Phone

(903) 792-5005

Fax

(903) 791-1569

NPI assigned

Apr 25, 2006

Last updated

Jun 9, 2009By 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

Jeffrey Thomas Dehaan, MD

Title

Ceo

Phone

(903) 792-5005

Specialties & licenses 1

Addresses

Other identifiers 8

Locations

Practitioners 5

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.

• Carey Christian Alkire, M.D.

  • Orthopaedic Surgery Physician
  • Texarkana, TX
  • NPI 1225038482
  NPD (past)
• David Harmon, P.T.

  • Specialist
  • Texarkana, TX
  • NPI 1316932502
  NPD (past)
• Connie Gayle Rankin, OTR

  • Occupational Therapist
  • Texarkana, TX
  • NPI 1275551459
  NPD (past)
• Gregory J Smolarz Sr., MD

  • Orthopaedic Surgery Physician
  • Texarkana, TX
  • NPI 1386644953
  NPD (past)
• John Patrick Young, M. D.

  • Specialist
  • Birmingham, AL
  • NPI 1457392045
  NPD (past)

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

{
    "created_epoch": "1145923200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1244505600000",
    "number": "1629034863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7648",
            "city": "TEXARKANA",
            "state": "TX",
            "postal_code": "755057648",
            "telephone_number": "903-792-5005",
            "fax_number": "903-791-1569"
        },
        {
            "country_code": "UM",
            "country_name": "United States Minor Outlying Islands",
            "address_purpose": "LOCATION",
            "address_type": "FGN",
            "address_1": "1002 TEXAS BLVD.",
            "address_2": "SUITE 501",
            "city": "TEXARKANA",
            "state": "TEXAS",
            "postal_code": "75501",
            "telephone_number": "903-792-5005",
            "fax_number": "903-791-1569"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORTHOPEDIC SPECIALISTS OF TEXARKANA PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-25",
        "last_updated": "2009-06-09",
        "status": "A",
        "authorized_official_last_name": "DEHAAN",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "903-792-5005",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "TX",
            "license": "G2594",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ARKANSAS MEDICARE",
            "identifier": "5G239",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "109415302",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100754980A",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "131747002",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS BCBS",
            "identifier": "94AU",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "CE7233",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ARKANSAS BCBS",
            "identifier": "85756",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPT OF LABOR",
            "identifier": "180802400",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2009; 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.