NPIMap

Organization Active NPI

Advanced Microsurgery of the Spine, P.a.

  • Orthopaedic Surgery Physician
  • Dallas, TX
National Provider Identifier
1861542953
Registry record updated Oct 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
F6344 Issued in TX
Legal business name
ADVANCED MICROSURGERY OF THE SPINE, P.A.
Practice address
1341 W. Mockingbird LN
Mockingbird Towers, Suite 710E
Dallas, TX 75247-6913
Phone
(214) 217-7520
Fax
(214) 217-7530
NPI assigned
Jan 11, 2007
Last updated
Oct 7, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2008

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

Authorized official

Name
George W. Wharton, MDNPI 1730183765
Title
President
Phone
(214) 217-7520

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X F6344 TX
Orthopaedic Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207X00000X F6344 TX Primary

Addresses

Primary practice location

1341 W. Mockingbird LN
Mockingbird Towers, Suite 710E
Dallas, TX 75247-6913

Mailing address

P.O. Box 1322
Addison, TX 75001-1322
Phone (972) 991-9950

Other identifiers 3

IdentifierTypeStateIssuer
137748302MedicaidTX
DC0230OtherTXRR MEDICARE
094847301MedicaidTX

National Provider Directory

National Provider Directory

Locations

1341 W Mockingbird Ln
Ste 960
Dallas, TX 75247
Phone (214) 217-7520

4724 Wellington St
Greenville, TX 75401
Phone (903) 450-4300

Practitioners & affiliated clinicians

Practitioners 12

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": "1168473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1223337600000",
    "number": "1861542953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 1322",
            "city": "ADDISON",
            "state": "TX",
            "postal_code": "750011322",
            "telephone_number": "972-991-9950",
            "fax_number": "972-991-4026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1341 W. MOCKINGBIRD LN",
            "address_2": "MOCKINGBIRD TOWERS, SUITE 710E",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752476913",
            "telephone_number": "214-217-7520",
            "fax_number": "214-217-7530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED MICROSURGERY OF THE SPINE, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-11",
        "last_updated": "2008-10-07",
        "status": "A",
        "authorized_official_last_name": "WHARTON",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "W.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "214-217-7520",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "TX",
            "license": "F6344",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "TX",
            "license": "F6344",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "137748302",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "DC0230",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "094847301",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2008; 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.