Active NPI
Sydney Pardino, M.D.
- Orthopaedic Surgery Physician
- Waxahachie, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- R9263
- Practice address
- 1102 Solon Place Way Ste 2
Waxahachie, TX 75165 - Phone
- (972) 875-7488
- Fax
- (972) 875-7508
- NPI assigned
- Dec 4, 2008
- Last updated
- Sep 25, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | R9263 | TX | Primary |
Addresses
Primary practice location
1102 Solon Place Way Ste 2
Waxahachie, TX 75165
Mailing address
PO Box 226656
Dallas, TX 75222-6656
Phone (214) 943-9431
Other practice location 1
1180 N Indian Canyon Dr
Suite W201
Palm Springs, CA 92262-4800
Phone (760) 416-4511
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | crogan@advantagehcs.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SD, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sanford Health Network | Current | Accepting new patients | |
| Sanford Health Network | Current | Accepting new patients | |
| Rehabilitation Physicians Network Inc | Current | Accepting new patients | |
| Sanford Health Network | Current | Accepting new patients |
Locations
701 3rd Ave S
Clear Lake, SD 57226
Phone (605) 874-2141
20 S Plum St
Vermillion, SD 57069
Phone (605) 624-2611
214 W Colorado Blvd
Dallas, TX 75208
Phone (214) 941-4550
1102 Solon Place Way
Ste 2
Waxahachie, TX 75165
Phone (972) 875-7488
Interoperability endpoints
- spardino@de1d8ab1.micromddirect.com
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Sanford Care Center Vermillion
- Critical Access Hospital
- Vermillion, SD
- NPI 1790721280
-
dba North Texas Rehabilitation Center
- Rehabilitation Practitioner
- Dallas, TX
- NPI 1508095761
-
dba Sanford Clinic Vermillion
- Family Medicine Physician
- Vermillion, SD
- NPI 1013921733
-
dba Sanford Chamberlain Medical Center
- Critical Access Hospital
- Chamberlain, SD
- NPI 1134140825
-
dba Sanford Clinic Mountain Lake
- Rural Health Clinic/Center
- Mountain Lake, MN
- NPI 1568469039
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1228348800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1569369600000",
"number": "1700021714",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 226656",
"city": "DALLAS",
"state": "TX",
"postal_code": "752226656",
"telephone_number": "214-943-9431"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1102 SOLON PLACE WAY STE 2",
"city": "WAXAHACHIE",
"state": "TX",
"postal_code": "75165",
"telephone_number": "972-875-7488",
"fax_number": "972-875-7508"
}
],
"practiceLocations": [
{
"address_1": "1180 N Indian Canyon Dr",
"address_2": "Suite W201",
"address_purpose": "LOCATION",
"city": "Palm Springs",
"state": "CA",
"postal_code": "922624800",
"country_code": "US",
"telephone_number": "760-416-4511",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PARDINO",
"first_name": "SYDNEY",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-12-04",
"last_updated": "2019-09-25",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "TX",
"license": "R9263",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "crogan@advantagehcs.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "email",
"address_1": "1102 Solon Place Way Ste 2",
"city": "Waxahachie",
"state": "TX",
"country_code": "US",
"postal_code": "75165",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Waxahachie, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.