Organization Active NPI

Ribeiro Orthopedic PA

  • Orthopaedic Surgery Physician
  • Decatur, TX
National Provider Identifier
1811137995
Registry record updated Apr 29, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
K7089 Issued in TX
Legal business name
RIBEIRO ORTHOPEDIC PA
Practice address
1101 W Eagle Dr
Suite B
Decatur, TX 76234-3721
Phone
(940) 627-1770
Fax
(940) 627-2233
NPI assigned
Mar 2, 2009
Last updated
Apr 29, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2015

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

Authorized official

Name
John Ribeiro, M.D.NPI 1245295732
Title
Ceo
Phone
(940) 627-1770

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207X00000X K7089 TX Primary

Addresses

Primary practice location

1101 W Eagle Dr
Suite B
Decatur, TX 76234-3721

Mailing address

1101 W Eagle Dr
Suite B
Decatur, TX 76234-3721
Phone (940) 627-1770

Other identifiers 2

IdentifierTypeStateIssuer
203508101MedicaidTX
0072SPOtherTXBCBS

National Provider Directory

National Provider Directory

Locations

1903 Doctors Hospital Dr
Ste 33
Bridgeport, TX 76426
Phone (817) 283-1860

1713 S FM 51
Ste 113
Decatur, TX 76234
Phone (940) 627-6976

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1235952000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1430265600000",
    "number": "1811137995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 W EAGLE DR",
            "address_2": "SUITE B",
            "city": "DECATUR",
            "state": "TX",
            "postal_code": "762343721",
            "telephone_number": "940-627-1770",
            "fax_number": "940-627-2233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 W EAGLE DR",
            "address_2": "SUITE B",
            "city": "DECATUR",
            "state": "TX",
            "postal_code": "762343721",
            "telephone_number": "940-627-1770",
            "fax_number": "940-627-2233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIBEIRO ORTHOPEDIC PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-02",
        "last_updated": "2015-04-29",
        "status": "A",
        "authorized_official_last_name": "RIBEIRO",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "940-627-1770",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "TX",
            "license": "K7089",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "203508101",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0072SP",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Decatur, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2015; 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.