NPIMap

Organization Active NPI

Orthopaedic Associates, LLP

  • Orthopaedic Surgery Physician
  • Wichita Falls, TX
National Provider Identifier
1679616502
Registry record updated Oct 20, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
Legal business name
ORTHOPAEDIC ASSOCIATES, LLP
Practice address
1 W Medical CT
Wichita Falls, TX 76310-1767
Phone
(940) 689-9664
Fax
(940) 689-9662
NPI assigned
Feb 14, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2011

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

Authorized official

Name
Dustin HostasNPI 1215068994
Title
Office Manager
Phone
(940) 689-9664

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207X00000X Primary
Radiology Clinic/Center 261QR0200X

Addresses

Primary practice location

1 W Medical CT
Wichita Falls, TX 76310-1767

Mailing address

1 W Medical CT
Wichita Falls, TX 76310-1767
Phone (940) 689-9664

Other identifiers 3

IdentifierTypeStateIssuer
143994501MedicaidTX
0046GSOtherTXBCBS GROUP NUMBER
970019474OtherTXRAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20071102000345 TX Part B Supplier - Clinic/Group Practice 6608963970 Receives reassigned benefits from 12 practitioners
Practice locations: Wichita Falls, TX
O20100930049976 TX DME Supplier - Physician - Orthopedic/Orthopedic Surgery 6608963970 Practice locations: Wichita Falls, TX

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 18

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.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1171411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1319068800000",
    "number": "1679616502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 W MEDICAL CT",
            "city": "WICHITA FALLS",
            "state": "TX",
            "postal_code": "763101767",
            "telephone_number": "940-689-9664",
            "fax_number": "940-689-9662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 W MEDICAL CT",
            "city": "WICHITA FALLS",
            "state": "TX",
            "postal_code": "763101767",
            "telephone_number": "940-689-9664",
            "fax_number": "940-689-9662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORTHOPAEDIC ASSOCIATES, LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-14",
        "last_updated": "2011-10-20",
        "status": "A",
        "authorized_official_last_name": "HOSTAS",
        "authorized_official_first_name": "DUSTIN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "940-689-9664"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "143994501",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS GROUP NUMBER",
            "identifier": "0046GS",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "970019474",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita Falls, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2011; 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.