NPIMap

Organization Active NPI

Amarillo Bone & Joint Clinic, PLLC

  • Orthopaedic Surgery Physician
  • Amarillo, TX
National Provider Identifier
1871784652
Registry record updated Jul 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
Legal business name
AMARILLO BONE & JOINT CLINIC, PLLC
Practice address
1100 S Coulter St
Amarillo, TX 79106-1836
Phone
(806) 468-9700
Fax
(806) 468-9771
NPI assigned
Aug 6, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2022

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

Authorized official

Name
Mrs. Jennifer Richey
Title
Executive Director
Phone
(806) 468-9700

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Family Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207QS0010X TX
Orthopaedic Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207X00000X TX Primary

Addresses

Primary practice location

1100 S Coulter St
Amarillo, TX 79106-1836

Mailing address

1100 S Coulter St
Amarillo, TX 79106-1836
Phone (806) 468-9700

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL Breeze

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20090717000077 TX Part B Supplier - Clinic/Group Practice 6103978499 Receives reassigned benefits from 18 practitioners
Practice locations: Amarillo, TX
O20111020000196 TX DME Supplier - Physician - Orthopedic/Orthopedic Surgery 6103978499 Practice locations: Amarillo, TX

National Provider Directory

National Provider Directory

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Locations

1100 S Coulter St
Amarillo, TX 79106
Phone (806) 242-0101

Practitioners & affiliated clinicians

Practitioners 18

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

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1186358400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658188800000",
    "number": "1871784652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 S COULTER ST",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791061836",
            "telephone_number": "806-468-9700",
            "fax_number": "806-468-9771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 S COULTER ST",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791061836",
            "telephone_number": "806-468-9700",
            "fax_number": "806-468-9771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMARILLO BONE & JOINT CLINIC, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-06",
        "last_updated": "2022-07-19",
        "certification_date": "2022-07-19",
        "status": "A",
        "authorized_official_last_name": "RICHEY",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "806-468-9700",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207QS0010X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Sports Medicine",
            "state": "TX",
            "license": null,
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Breeze",
            "affiliation": "N",
            "address_1": "1100 S Coulter St",
            "city": "Amarillo",
            "state": "TX",
            "country_code": "US",
            "postal_code": "791061836",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Amarillo, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.