Lodi Orthopaedic Medical Group

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

Legal business name

LODI ORTHOPAEDIC MEDICAL GROUP

Doing business as

Thomas P McKenzie MD

Practice address

924 S Fairmont Ave
Lodi, CA 95240-5119

Phone

(209) 334-2590

Fax

(209) 334-0944

NPI assigned

Oct 12, 2005

Last updated

Apr 25, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Thomas Peter McKenzie, MDNPI 1083709638

Title

President

Phone

(209) 334-2590

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Thomas P McKenzie MD Doing business as

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.

• Thomas Peter McKenzie, MD

  • Orthopaedic Surgery Physician
  • Lodi, CA
  • NPI 1083709638
  Authorized official Same address or phone

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

{
    "created_epoch": "1129075200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209081600000",
    "number": "1962490078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "924 S FAIRMONT AVE",
            "city": "LODI",
            "state": "CA",
            "postal_code": "952405119",
            "telephone_number": "209-334-2590",
            "fax_number": "209-334-0944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "924 S FAIRMONT AVE",
            "city": "LODI",
            "state": "CA",
            "postal_code": "952405119",
            "telephone_number": "209-334-2590",
            "fax_number": "209-334-0944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LODI ORTHOPAEDIC MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-12",
        "last_updated": "2008-04-25",
        "status": "A",
        "authorized_official_last_name": "MCKENZIE",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "PETER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "209-334-2590",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0029390",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "200008575",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Thomas P McKenzie MD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Orthopaedic Surgery Physician in Lodi, CA
• Providers in Lodi, CA by specialty
• Orthopaedic Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 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.