CENTER FOR SCOLIOSIS AND ADVANCED SPINE SURGERY (NPI# 1215392840) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215392840 |
| Entity Type | Organization |
| Organization Name | CENTER FOR SCOLIOSIS AND ADVANCED SPINE SURGERY |
| Practice Address |
2800 E Broad St 512 Mansfield TX 76063-6409 |
| Mailing Address |
2800 E Broad St Suite 512 Mansfield TX 76063-6409 |
| Practice Telephone | 6033691281 |
| Mailing Telephone | 6033691281 |
| Enumeration Date | 2015-12-26 |
| Last Update Date | 2015-12-26 |
| Authorized Official Name | DR. DILIP K SENGUPTA (DIRECTOR) |
| Authorized Official Telephone | 6033691281 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | Q2386 | TX | Allopathic & Osteopathic Physicians |
| Street Address |
2800 E BROAD ST 512 |
| City | MANSFIELD |
| State | TX |
| Zip Code | 76063-6409 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942287388 | John Tiu | Internal Medicine | 2800 E Broad St, Suite 514, Mansfield, TX 76063-6417 | 2005-12-28 |
| 1740736099 | Kyla Crispe | Physician Assistant | 2800 E Broad St, Ste #124, Mansfield, TX 76063-6414 | 2016-08-28 |
| 1902264732 | Paige Herlihy | Physician Assistant | 2800 E Broad St, Suite 124, Mansfield, TX 76063-6409 | 2016-02-08 |
| 1669857595 | Uyen Ngoc Bao Phan | Physician Assistant | 2800 E Broad St, Suite 124, Mansfield, TX 76063-6409 | 2015-07-21 |
| 1982945127 | Hospitalist Partners of Excellence In Mansfield (h.o.p.e), P.a. | Clinic/Center | 2800 E Broad St, Suite 308, Mansfield, TX 76063-6412 | 2013-03-13 |
| 1902160708 | Helen Kaporis | Dermatology | 2800 E Broad St, Ste 124, Mansfield, TX 76063-6409 | 2012-06-27 |
| 1164793246 | Amy Renee Lewis | Nurse Practitioner | 2800 E Broad St, Suite 504, Mansfield, TX 76063-6409 | 2012-01-20 |
| 1144541202 | Magdala Poon | Psychiatry & Neurology | 2800 E Broad St, Suite 504, Mansfield, TX 76063-6409 | 2010-06-11 |
| 1598913253 | Mansfield Dermatology, Pllc | Dermatology | 2800 E Broad St, Suite 408, Mansfield, TX 76063-6414 | 2008-09-05 |
| 1700040490 | Dallas Oncology Consultants Pa | Internal Medicine | 2800 E Broad St, Suite 212, Mansfield, TX 76063-6409 | 2008-07-11 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316558349 | Lindsey Vandyke, D.o. Pllc | Internal Medicine | 3150 E Broad Street, Ste 100, Mansfield, TX 76063 | 2020-08-13 |
| 1942819867 | Jennifer Que Chau Nguyen | Pharmacist | 980 U.S. 287 Frontage Rd #287, Mansfield, TX 76063 | 2020-07-27 |
| 1194346890 | Ana Maria Gonzalez | Dentist | 1600 Us Highway 287, Suite 102, Mansfield, TX 76063 | 2020-05-04 |
| 1245869080 | Stateserv Medical of Texas, LLC | Durable Medical Equipment & Medical Supplies | 7941 Rodeo Trail, Mansfield, TX 76063 | 2020-04-03 |
| 1649802232 | Mary Puanani Kamai | Nurse Practitioner | 1301 E. Debbie Lane, Suite 102 #1405, Mansfield, TX 76063 | 2020-02-11 |
| 1770123028 | Gladys Vera Nfodzo | Nurse Practitioner | 901 W. Broad St, Mansfield, TX 76063 | 2020-01-14 |
| 1669011300 | Alexa Smith | Nurse Practitioner | 2800 E Broad St #304, Mansfield, TX 76063 | 2019-12-28 |
| 1477190437 | Mel Rockwall LLC | Optometrist | 1701 East Broad Street, Ste 109, Mansfield, TX 76063 | 2019-12-09 |
| 1376185512 | Daniel Max & Marcandrea LLC | Optometrist | 1701 East Broad St., Ste 109, Mansfield, TX 76063 | 2019-10-09 |
| 1861046385 | Lacey Eaton | Counselor | 805 Killian Dr, Mansfield, TX 76063 | 2019-08-01 |
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| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013557727 | University Orthopedics, Inc. | Orthopaedic Surgery | 10 Reservoir St, Mansfield, MA 02048-3104 | 2020-01-10 |
| 1457999351 | Orthopedic Care Physician Network LLC | Orthopaedic Surgery | 89 Forbes Blvd Ste 1000, Mansfield, MA 02048-1281 | 2019-12-11 |
| 1548296841 | Jason Kirk Lowry | Orthopaedic Surgery | 2801 E Broad St, Mansfield, TX 76063-9128 | 2006-06-25 |
| 1326013897 | John Antun Drkulec | Orthopaedic Surgery | 2800 E Broad St Ste 124, Mansfield, TX 76063-6410 | 2006-02-20 |
| 1295027340 | Edward Masengo Mairura | Orthopaedic Surgery | 2975 E Broad St Ste 200, Mansfield, TX 76063-9186 | 2011-05-09 |
| 1962794354 | John Robert Harris | Orthopaedic Surgery | 2975 E Broad St Ste 200, Mansfield, TX 76063-9186 | 2011-05-04 |
| 1497878060 | Michael F Duffy | Orthopaedic Surgery | 2800 E Broad St, Suite 522, Mansfield, TX 76063-6409 | 2007-04-09 |
| 1134180722 | Michael R Viau | Orthopaedic Surgery | 335 Glessner Ave, Mansfield, OH 44903-2269 | 2006-03-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598362436 | Ortholonestar, Pllc | Orthopaedic Surgery | 4215 Benner Ste 301, Kyle, TX 78640-2223 | 2020-10-05 |
| 1417554353 | Ortholonestar, Pllc | Orthopaedic Surgery | 1401 Medical Pkwy Ste 109b, Cedar Park, TX 78613-5012 | 2020-10-05 |
| 1639776685 | Ortholonestar, Pllc | Orthopaedic Surgery | 708 E Corsicana St, Athens, TX 75751-2627 | 2020-10-02 |
| 1609483155 | Ortholonestar, Pllc | Orthopaedic Surgery | 203 Nacogdoches St Ste 350, Jacksonville, TX 75766-2454 | 2020-09-29 |
| 1396352878 | Ortholonestar, Pllc | Orthopaedic Surgery | 4215 Benner Ste 300, Kyle, TX 78640-2224 | 2020-09-28 |
| 1770190241 | Ortholonestar, Pllc | Orthopaedic Surgery | 1701 N Us Highway 281, Marble Falls, TX 78654-4311 | 2020-09-28 |
| 1134736796 | Ortholonestar, Pllc | Orthopaedic Surgery | 6444 State Highway 19 S, Athens, TX 75751-8968 | 2020-09-28 |
| 1982211454 | Ortholonestar, Pllc | Orthopaedic Surgery | 1401 Medical Pkwy Ste 120b, Cedar Park, TX 78613-7763 | 2020-09-28 |
| 1528675097 | Ortholonestar, Pllc | Orthopaedic Surgery | 3755 S Capital of Texas Hwy Ste 160, Austin, TX 78704-6645 | 2020-09-28 |
| 1609483767 | Eric Sides, M.d., Pa | Orthopaedic Surgery | 820 E Redd Rd Bldg B, El Paso, TX 79912-7275 | 2020-09-23 |
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| 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.