Active NPI
Keith W Louden M D PA
- Orthopaedic Surgery Physician
- Fort Worth, TX
National Provider Identifier
1982602611
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- K2062
- Legal business name
- KEITH W LOUDEN M D PA
- Practice address
- 5632 Edwards Ranch Rd.
Suite 100
Fort Worth, TX 76109 - Phone
- (817) 336-7188
- Fax
- (844) 231-8865
- NPI assigned
- Jul 7, 2005
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Keith Ward Louden, MD
- Title
- Physician
- Phone
- (817) 336-7188
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | K2062 | TX | Primary |
Addresses
Primary practice location
5632 Edwards Ranch Rd.
Suite 100
Fort Worth, TX 76109
Mailing address
5632 Edwards Ranch Rd.
Suite 100
Fort Worth, TX 76109
Phone (817) 336-7188
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 153023001 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
1308 Paluxy Rd
Ste 205
Granbury, TX 76048
Phone (817) 489-7450
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Orthopaedic Surgery Physician
- Fort Worth, TX
- NPI 1811995541
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1120694400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1578441600000",
"number": "1982602611",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5632 EDWARDS RANCH RD.",
"address_2": "SUITE 100",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "76109",
"telephone_number": "817-336-7188",
"fax_number": "844-231-8865"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5632 EDWARDS RANCH RD.",
"address_2": "SUITE 100",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "76109",
"telephone_number": "817-336-7188",
"fax_number": "844-231-8865"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KEITH W LOUDEN M D PA",
"organizational_subpart": "NO",
"enumeration_date": "2005-07-07",
"last_updated": "2020-01-08",
"certification_date": "2020-01-08",
"status": "A",
"authorized_official_last_name": "LOUDEN",
"authorized_official_first_name": "KEITH",
"authorized_official_middle_name": "WARD",
"authorized_official_title_or_position": "PHYSICIAN",
"authorized_official_telephone_number": "817-336-7188",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Orthopaedic Surgery",
"state": "TX",
"license": "K2062",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "153023001",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fort Worth, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2020; 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.