West Side Orthopaedic Clinic

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

Legal business name

WEST SIDE ORTHOPAEDIC CLINIC

Practice address

1002 Montgomery St
Suite 107
Fort Worth, TX 76107-2662

Phone

(817) 738-6668

NPI assigned

May 18, 2006

Organization subpart

No

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

Authorized official

Name

Myron Glickfeld, DO

Title

Owner/Physician

Phone

(817) 738-6668

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Charles T Whittenburg, DO

  • Orthopaedic Surgery Physician
  • Denison, TX
  • NPI 1073531158
  NPD (past)
• Ralph P Katz, MD

  • Orthopaedic Surgery of the Spine Physician
  • Marrero, LA
  • NPI 1104892991
  NPD (past)

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

{
    "created_epoch": "1147910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193184000000",
    "number": "1720031958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1002 MONTGOMERY ST",
            "address_2": "SUITE 107",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761072662",
            "telephone_number": "817-738-6668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1002 MONTGOMERY ST",
            "address_2": "SUITE 107",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761072662",
            "telephone_number": "817-738-6668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST SIDE ORTHOPAEDIC CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-18",
        "last_updated": "2007-10-24",
        "status": "A",
        "authorized_official_last_name": "GLICKFELD",
        "authorized_official_first_name": "MYRON",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "817-738-6668",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP MEDICARE RR",
            "identifier": "CJ8419",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP BCBS",
            "identifier": "0013HZ",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• West Fort Worth Dermatology, P.a.
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• West Magnolia Plastic Surgery PA
• West Magnolia Surgery Center
• West Texas Dental Fort Worth PLLC
• West Texas Internal Medicine Clinic
• West Wharton County Hospital District
• West Wharton County Hospital District
• West Wharton County Hospital District

• Orthopaedic Surgery Physician in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Orthopaedic Surgery Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2007; 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.