Individual provider Active NPI

Sydney Pardino, M.D.

  • Orthopaedic Surgery Physician
  • Waxahachie, TX
National Provider Identifier
1700021714
Registry record updated Sep 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
R9263 Issued in TX
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, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
Direct Messaging Address crogan@advantagehcs.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SD, TX2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20181002001810 SD Practitioner - Orthopedic Surgery 0941478580 Reassigns benefits to 1 organization
I20191024002841 TX Practitioner - Orthopedic Surgery 0941478580

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Sanford Health Network Current Accepting new patients
Sanford Health Network CurrentSince Aug 13, 2018 Accepting new patients
Rehabilitation Physicians Network Inc CurrentSince Sep 29, 2019 Accepting new patients
Sanford Health Network CurrentSince Aug 13, 2018 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.