Organization Active NPI

Greater Texas Orthopedic Associates, PLLC

  • Clinic/Center
  • Beaumont, TX
National Provider Identifier
1811669583
Registry record updated Oct 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
GREATER TEXAS ORTHOPEDIC ASSOCIATES, PLLC
Practice address
324 N 23Rd St
Beaumont, TX 77707-2241
Phone
(409) 600-8700
Fax
(409) 921-2157
NPI assigned
Oct 1, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2021

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

Authorized official

Name
Jessica R Evans
Title
Credentialing Specialist
Phone
(409) 600-8706

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

324 N 23Rd St
Beaumont, TX 77707-2241

Mailing address

324 N 23Rd St
Beaumont, TX 77707-2241
Phone (409) 600-8700

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1633046400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1633046400000",
    "number": "1811669583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "324 N 23RD ST",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777072241",
            "telephone_number": "409-600-8700",
            "fax_number": "409-921-2157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "324 N 23RD ST",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777072241",
            "telephone_number": "409-600-8700",
            "fax_number": "409-921-2157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREATER TEXAS ORTHOPEDIC ASSOCIATES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-01",
        "last_updated": "2021-10-01",
        "certification_date": "2021-10-01",
        "status": "A",
        "authorized_official_last_name": "EVANS",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "409-600-8706"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaumont, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2021; 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.