NORTHEAST ORTHOPAEDICS & SPORTS MEDICINE, LLP (NPI# 1124366547) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124366547 |
| Entity Type | Organization |
| Organization Name | NORTHEAST ORTHOPAEDICS & SPORTS MEDICINE, LLP |
| Practice Address |
8715 Village Dr Suite 120 San Antonio TX 78217-5405 |
| Mailing Address |
12709 Toepperwein Rd Suite 101 Live Oak TX 78233-3258 |
| Practice Telephone | 2104775151 |
| Practice Fax Number | 2104775152 |
| Mailing Telephone | 2104775151 |
| Mailing Fax Number | 2104775152 |
| Enumeration Date | 2013-01-18 |
| Last Update Date | 2013-01-18 |
| Authorized Official Name | DR. DAVID LESTER FOX (MANAGING PARTNER) |
| Authorized Official Telephone | 2104775151 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | H5882 | TX | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063817260 | Northeast Orthopaedics & Sports Medicine, LLP | Clinic/Center | 12709 Toepperwein Rd, Suite 101, Live Oak, TX 78233-3259 | 2014-10-30 |
| 1023356441 | Northeast Orthopaedics & Sports Medicine, LLP | Specialist | 18626 Hardy Oak Blvd, Suite 300, San Antonio, TX 78258-4210 | 2013-01-18 |
| Street Address |
8715 VILLAGE DR SUITE 120 |
| City | SAN ANTONIO |
| State | TX |
| Zip Code | 78217-5405 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548263874 | Carol E Wratten | Obstetrics & Gynecology | 8715 Village Dr, Ste 300, San Antonio, TX 78217-5407 | 2005-05-31 |
| 1588270508 | Amber Holisky | Nurse Practitioner | 8715 Village Dr, San Antonio, TX 78217-5405 | 2020-09-16 |
| 1386059491 | The Hand and Thumb Specialty Centers, P.a. | Plastic Surgery | 8715 Village Dr, Suite 504, San Antonio, TX 78217-5405 | 2014-06-26 |
| 1912247511 | Lisa Lee Ng | Obstetrics & Gynecology | 8715 Village Dr, Suite 305, San Antonio, TX 78217-5405 | 2013-02-20 |
| 1366726275 | Heather H Doyle | Nurse Practitioner | 8715 Village Dr, Suite 500, San Antonio, TX 78217-5405 | 2011-10-11 |
| 1437458429 | Darryl D. Cuda, M.d. P.a. | Orthopaedic Surgery | 8715 Village Dr, Suite 120, San Antonio, TX 78217-5405 | 2011-03-16 |
| 1144537499 | Marney B Kidwell | Nurse Practitioner | 8715 Village Dr, 410, San Antonio, TX 78217-5405 | 2010-09-08 |
| 1518199314 | Nandkishore R Gurram Md Pa | Internal Medicine | 8715 Village Dr, Suite 400, San Antonio, TX 78217-5405 | 2009-08-13 |
| 1063643633 | Therapeutic Dimensions Pllc | Anesthesiology | 8715 Village Dr, Suite 514, San Antonio, TX 78217-5405 | 2009-07-30 |
| 1972755833 | Michael C. Albrecht, Md, Pa | Surgery | 8715 Village Dr, Suite 608, San Antonio, TX 78217-5405 | 2008-10-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699390278 | Nadia Sanchez De Ramos | Counselor | 10615 Perrin Veitle, Ste. 402, San Antonio, TX 78217 | 2020-06-10 |
| 1104455518 | Lamonica Shantae Armond | Counselor | 4035 Narco Perrin Blvd Ste 2030, San Antonio, TX 78217 | 2020-04-07 |
| 1487282414 | Debra Pitts | Counselor | 10605 Perrin Beitel Rd, Suite 801, San Antonio, TX 78217 | 2020-03-27 |
| 1083241129 | Jena Lalley | Nurse Practitioner | 8723 Botts Lane, San Antonio, TX 78217 | 2020-03-26 |
| 1699307173 | Kingdom Outreach Center of San Antonio, Tx | Counselor | Kingdom Out Reach Center of San Antonio, 3819 Naco Perrin Blvd #118, San Antonio, TX 78217 | 2020-02-12 |
| 1881224277 | Tinyada Robinson | Recreation Therapist | 1777 Ne Interstate 410 Loop, Ste 1009, San Antonio, TX 78217 | 2020-01-24 |
| 1255996815 | Chelsey Lynn Guy | Dental Hygienist | 10231 Kotzebue St., San Antonio, TX 78217 | 2019-05-08 |
| 1972069144 | Emma Getic | Behavioral Analyst | 2391 Ne Interstate 410 Loop, Suite #304, San Antonio, TX 78217 | 2019-02-13 |
| 1487133781 | Rebecca Rendon | Registered Nurse | 8610 N. New Braunfels Ave, Ste. 405, San Antonio, TX 78217 | 2018-08-08 |
| 1326526922 | Charlene Michelle Turner | Registered Nurse | 8620 N New Braunfels Ave, #700, San Antonio, TX 78217 | 2018-08-06 |
| Find all providers in zip 78217 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568904175 | Ashlee Anderjeski | Specialist | 10218 Castello Cyn, San Antonio, TX 78254-4551 | 2016-11-14 |
| 1831641059 | Lone Star Cardiovascular Center Pllc | Specialist | 9130 Wurzbach Rd Ste 104, San Antonio, TX 78240-1070 | 2016-11-04 |
| 1851753396 | Coral Ramirez Camacho | Specialist | 7827 Clos Du Bois, San Antonio, TX 78253-4880 | 2016-03-23 |
| 1174984371 | Crossover Health | Specialist | 3838 Rogers Rd, San Antonio, TX 78251-3662 | 2016-03-15 |
| 1033585948 | Job Adventures | Specialist | 4606 Centerview Ste 200, San Antonio, TX 78228-1205 | 2015-08-14 |
| 1790168417 | San Antonio Head & Neck Surgical Associates | Specialist | 926 Booklyn Ave, San Antonio, TX 78215-1637 | 2015-06-30 |
| 1255738514 | Amy Beth Flores | Specialist | 7134 Washita Way, San Antonio, TX 78256-2339 | 2014-12-01 |
| 1730582263 | Womens Center At Westover Hills | Specialist | 1315 N. Ellison Dr., San Antonio, TX 78251 | 2014-09-29 |
| 1811396799 | Intravascular Access Team | Specialist | 8415 Fredericksburg Rd, Unit 906, San Antonio, TX 78229-3173 | 2014-08-17 |
| 1497164990 | Next Generation Orthopedic & Spine Institute, Pllc | Specialist | 1626 Lockhill Selma Rd, Suite 2, San Antonio, TX 78213-1929 | 2014-08-08 |
| Find all providers in SAN ANTONIO | ||||
| City | SAN ANTONIO |
| Zip Code | 78217 |
Please comment or provide details below to improve the information on NORTHEAST ORTHOPAEDICS & SPORTS MEDICINE, LLP.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.