Organization Active NPI

Ortholonestar, PLLC

  • Orthopaedic Surgery Physician
  • Houston, TX
National Provider Identifier
1942860176
Registry record updated Jun 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
Legal business name
ORTHOLONESTAR, PLLC
Practice address
7401 Main St
Houston, TX 77030-4509
Phone
(713) 799-2300
NPI assigned
Jun 19, 2019
Last updated
Jun 19, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2019

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

Authorized official

Name
Jack Bryan Williamson, MDNPI 1437147642
Title
Principle Physician
Phone
(713) 799-2300

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

7401 Main St
Houston, TX 77030-4509

Mailing address

7401 Main St
Houston, TX 77030-4509
Phone (713) 799-2300

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20201012001450 TX Part B Supplier - Clinic/Group Practice 9931529062 Receives reassigned benefits from 442 practitioners
O20220119000910 TX DME Supplier - Physician - Orthopedic/Orthopedic Surgery 9931529062 1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Sugar Land, TX

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

1123 S Palestine St
Ste 100
Athens, TX 75751
Phone (903) 675-5300

4700 Seton Center Pkwy
Ste 175
Austin, TX 78759
Phone (512) 439-1940

7718 Garth Rd
Baytown, TX 77521
Phone (713) 347-9031

20203 Bridgeland Creek Pkwy
Cypress, TX 77433
Phone (281) 955-2650

21212 Northwest Fwy
Ste 605
Cypress, TX 77429
Phone (281) 664-2102

8081 Walnut Hill Ln
Ste 1000LNE
Dallas, TX 75231

8210 Walnut Hill Ln
Ste 1000
Dallas, TX 75231

9301 N Central Expy
Ste 400500
Dallas, TX 75231

9301 N Central Expy
Ste 451
Dallas, TX 75231
Phone (214) 397-1570

3800 Gaylord Pkwy
Ste 170
Frisco, TX 75034

10726 Huffmeister Rd
Ste 320
Houston, TX 77065

22485 State Highway 249
Houston, TX 77070

721 Keller Pkwy
Ste 100
Keller, TX 76248

22751 Professional Dr
Ste 240
Kingwood, TX 77339
Phone (281) 348-3338

601 Rockmead Dr
Kingwood, TX 77339
Phone (281) 359-5115

101 Medical Pkwy
Lakeway, TX 78738

101 Medical Pkwy
Ste 120
Lakeway, TX 78738

10861 183A Toll Rd
Leander, TX 78641

10861 183A Toll Rd
Ste 1200
Leander, TX 78641
Phone (512) 439-1009

4700 Campus Village Dr
Ste 150
Round Rock, TX 78665

11520 Northpointe Blvd
Tomball, TX 77377
Phone (281) 955-2650

8101 S Broadway Ave
Tyler, TX 75703
Phone (903) 525-3300

Ownership & related parties

Subparts reporting this organization as parent 66

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

View all 66

Practitioners & affiliated clinicians

Practitioners 492

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.

View all 492

NPI Registry JSON

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

{
    "created_epoch": "1560902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560902400000",
    "number": "1942860176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7401 MAIN ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770304509",
            "telephone_number": "713-799-2300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7401 MAIN ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770304509",
            "telephone_number": "713-799-2300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORTHOLONESTAR, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-19",
        "last_updated": "2019-06-19",
        "status": "A",
        "authorized_official_last_name": "WILLIAMSON",
        "authorized_official_first_name": "JACK",
        "authorized_official_middle_name": "BRYAN",
        "authorized_official_title_or_position": "PRINCIPLE PHYSICIAN",
        "authorized_official_telephone_number": "713-799-2300",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2019; 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.