Lakewood Orthopaedics & Sports Medicine, PA

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

LAKEWOOD ORTHOPAEDICS & SPORTS MEDICINE, PA

Practice address

1130 Beachview
Suite 100
Dallas, TX 75218-3697

Phone

(469) 341-5676

Fax

(469) 341-5677

NPI assigned

Dec 28, 2006

Last updated

Jun 7, 2013By the provider in NPPES

Organization subpart

Yes

Parent organization

LAKEWOOD ORTHOPAEDICS & SPORTS MEDICINEAs reported in NPPES

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

Authorized official

Name

Terry GemasNPI 1457314536

Title

Manager

Phone

(469) 341-5676

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Part of

Lakewood Orthopaedics Spor

Practitioners 1

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.

• Terry Keith Gemas, M.D.

  • Orthopaedic Surgery Physician
  • Dallas, TX
  • NPI 1457314536
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1167264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1370563200000",
    "number": "1669538377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1130 BEACHVIEW ST",
            "address_2": "SUITE 100",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752183700",
            "telephone_number": "469-341-5676",
            "fax_number": "469-341-5677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1130 BEACHVIEW",
            "address_2": "SUITE 100",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752183697",
            "telephone_number": "469-341-5676",
            "fax_number": "469-341-5677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKEWOOD ORTHOPAEDICS & SPORTS MEDICINE, PA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LAKEWOOD  ORTHOPAEDICS & SPORTS MEDICINE",
        "enumeration_date": "2006-12-28",
        "last_updated": "2013-06-07",
        "status": "A",
        "authorized_official_last_name": "GEMAS",
        "authorized_official_first_name": "TERRY",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "469-341-5676"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DOL",
            "identifier": "610541200",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "176468001",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP",
            "identifier": "00035Z",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0031MS",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lakewood Dermatology, PLLC
• Lakewood Emergency Room
• Lakewood Imaging Associates, LLC
• Lakewood Integrative Health & Wellness, PLLC
• Lakewood Iom
• Lakewood Orthopedics and Sports Medicine
• Lakewood Surgical Associates LP
• Lakewood Texas Chiro Health
• Lakewood Wellness LLC
• Antonia April Lakhani, LMT

• Specialist in Dallas, TX
• Providers in Dallas, TX by specialty
• Specialist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2013; 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.