Cy-Fair Bone & Joint LLP

Primary specialty

Sports Medicine (Orthopaedic Surgery) PhysicianTaxonomy code 207XX0005X

License

J0085 Issued in TX

Legal business name

CY-FAIR BONE & JOINT LLP

Doing business as

Advanced Orthopaedics and Sports Medicine

Practice address

11800 FM 1960 Rd W
Houston, TX 77065-3840

Phone

(281) 664-2107

Fax

(281) 955-5875

NPI assigned

May 17, 2006

Organization subpart

No

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

Authorized official

Name

Dr. David Mack, MD

Title

MD/Managing Partner

Phone

(281) 664-2107

Specialties & licenses 10

Addresses

Other identifiers 1

Other names 1

• Advanced Orthopaedics and Sports Medicine Doing business as

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

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1489017600000",
    "number": "1972556660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11800 FM 1960 RD W",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770653840",
            "telephone_number": "281-664-2107",
            "fax_number": "281-955-5875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11800 FM 1960 RD W",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770653840",
            "telephone_number": "281-664-2107",
            "fax_number": "281-955-5875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CY-FAIR BONE & JOINT LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-17",
        "last_updated": "2017-03-09",
        "status": "A",
        "authorized_official_last_name": "MACK",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "MD/MANAGING PARTNER",
        "authorized_official_telephone_number": "281-664-2107",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "12013",
            "primary": false
        },
        {
            "code": "207PS0010X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Emergency Medicine, Sports Medicine",
            "state": "TX",
            "license": "Q6465",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "TX",
            "license": "N2496",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "TX",
            "license": "P6096",
            "primary": false
        },
        {
            "code": "207XS0106X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery, Hand Surgery",
            "state": "TX",
            "license": "Q1860",
            "primary": false
        },
        {
            "code": "207XX0004X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery, Foot and Ankle Surgery",
            "state": "TX",
            "license": "M0651",
            "primary": false
        },
        {
            "code": "207XX0005X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "TX",
            "license": "J0085",
            "primary": true
        },
        {
            "code": "207XX0005X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "TX",
            "license": "K6574",
            "primary": false
        },
        {
            "code": "2080S0010X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Pediatrics, Sports Medicine",
            "state": "TX",
            "license": "N6827",
            "primary": false
        },
        {
            "code": "2081P2900X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "TX",
            "license": "N8571",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS GROUP NUMBER",
            "identifier": "0046HD",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advanced Orthopaedics and Sports Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• CWP Healthcare Op LLC (Manda Ann Convalescent Home)
• Cy Fair Pediatrics PA
• Cy Fair Surgery Center
• Cy Fair Vision Care, PC
• Cy- Creek Healthcare Services
• Cy-Fair Bone and Joint, LLP (Advanced Orthopaedics and Sports Medicine)
• Cy-Fair Chiropractic Associates,PC
• Cy-Fair Dental Care
• Cy-Fair Medical Center Hospital, LLC (HCA Houston Healthcare Cypress Fairbanks)
• Cy-Fair Memory Care, LLC (Autumn Leaves of Cy-Fair)

• Sports Medicine (Orthopaedic Surgery) Physician in Houston, TX
• Providers in Houston, TX by specialty
• Sports Medicine (Orthopaedic Surgery) Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2017; 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.