Ortholonestar, PLLC

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

Legal business name

ORTHOLONESTAR, PLLC

Practice address

1905 S Donnybrook Ave
Tyler, TX 75701-4216

Phone

(903) 939-7500

Fax

(903) 939-7728

NPI assigned

Oct 1, 2020

Organization subpart

Yes

Parent organization

ORTHOLONESTAR, PLLCAs reported in NPPES

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

Authorized official

Name

Jennifer Kinman

Title

Ceo

Phone

(512) 439-1000

Specialties & licenses 1

Addresses

Other names 1

• Azalea Orthopedics & Sports Medicine Clinic Doing business as

Part of

Ortholonestar PLLC

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Ortholonestar, PLLC

  • Orthopaedic Surgery Physician
  • Houston, TX
  • NPI 1942860176
  NPPES parent name

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

{
    "created_epoch": "1601510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1601510400000",
    "number": "1982201190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3414 GOLDEN RD",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757018336",
            "telephone_number": "903-939-7500",
            "fax_number": "903-939-7728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1905 S DONNYBROOK AVE",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757014216",
            "telephone_number": "903-939-7500",
            "fax_number": "903-939-7728"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORTHOLONESTAR, PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ORTHOLONESTAR, PLLC",
        "enumeration_date": "2020-10-01",
        "last_updated": "2020-10-01",
        "certification_date": "2020-09-28",
        "status": "A",
        "authorized_official_last_name": "KINMAN",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "512-439-1000"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Azalea Orthopedics & Sports Medicine Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Carolina Orsi, MD
• Kenneth Lee Orten, M.D.
• Orthodontic Centers of Texas, Inc
• Ortholonestar, PLLC
• Ortholonestar, PLLC
• Fabiola Ortiz
• Hermes Jose Ortiz, PHARM D., R.PH
• Mayela Ortiz, PTA
• Deborah Adenike Osafehinti, M.B.CH.B
• Hannah Elisabeth Osborne

• Orthopaedic Surgery Physician in Tyler, TX
• Providers in Tyler, TX by specialty
• Orthopaedic Surgery Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2020; 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.