Organization Active NPI

Harlingen Bone & Joint Clinic, P.a.

  • Specialist
  • Harlingen, TX
National Provider Identifier
1851388649
Registry record updated Nov 17, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
D6052 Issued in TX
Legal business name
HARLINGEN BONE & JOINT CLINIC, P.A.
Practice address
1801 N Ed Carey Dr
Ste. a
Harlingen, TX 78550-8268
Phone
(956) 423-5033
Fax
(956) 412-3028
NPI assigned
Oct 5, 2005
Last updated
Nov 17, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2009

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

Authorized official

Name
Mrs. Judith A Keillor
Title
Office Manager
Phone
(956) 423-5033

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X D6052 TX Primary

Addresses

Primary practice location

1801 N Ed Carey Dr
Ste. a
Harlingen, TX 78550-8268

Mailing address

1801 N Ed Carey Dr
Ste. a
Harlingen, TX 78550-8268
Phone (956) 423-5033

Other identifiers 6

IdentifierTypeStateIssuer
00L35BOtherTXBCBS OF TX GRP PROV #
129821100OtherTXVALLEY HEALTH PLAN PROV #
78550A002OtherTXTRICARE PROV. #
091574601MedicaidTX
200005753OtherTXRAILROAD MEDICARE PROV#
091574602MedicaidTX

National Provider Directory

National Provider Directory

Locations

1801 N Ed Carey Dr
Ste A
Harlingen, TX 78550
Phone (956) 423-5033

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": "1128470400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1258416000000",
    "number": "1851388649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 N ED CAREY DR",
            "address_2": "STE. A",
            "city": "HARLINGEN",
            "state": "TX",
            "postal_code": "785508268",
            "telephone_number": "956-423-5033",
            "fax_number": "956-412-3028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 N ED CAREY DR",
            "address_2": "STE. A",
            "city": "HARLINGEN",
            "state": "TX",
            "postal_code": "785508268",
            "telephone_number": "956-423-5033",
            "fax_number": "956-412-3028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARLINGEN BONE & JOINT CLINIC, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-05",
        "last_updated": "2009-11-17",
        "status": "A",
        "authorized_official_last_name": "KEILLOR",
        "authorized_official_first_name": "JUDITH",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "956-423-5033",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "TX",
            "license": "D6052",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF TX GRP PROV #",
            "identifier": "00L35B",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALLEY HEALTH PLAN PROV #",
            "identifier": "129821100",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE PROV. #",
            "identifier": "78550A002",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "091574601",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE PROV#",
            "identifier": "200005753",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "091574602",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Harlingen, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2009; 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.