CENTRAL TEXAS ORTHOPAEDIC FOOT AND ANKLE CENTER, PLLC (NPI# 1629682919) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1629682919 |
Entity Type | Organization |
Organization Name | CENTRAL TEXAS ORTHOPAEDIC FOOT AND ANKLE CENTER, PLLC |
Other Organization Name | CENTRAL TX ORTHOPAEDIC FOOT & ANKLE CENTER |
Practice Address |
5100 Franklin Ave Waco TX 76710-6922 |
Mailing Address |
4964 Cedar Rock Pkwy Crawford TX 76638-2925 |
Practice Telephone | 2543139559 |
Practice Fax Number | 2545227964 |
Mailing Telephone | 3362028115 |
Enumeration Date | 2020-09-03 |
Last Update Date | 2020-10-07 |
Authorized Official Name | DR. PAUL ANTHONY BEDNARZ (OWNER/PHYSICIAN) |
Authorized Official Telephone | 3362028115 |
Authorized Official Credential | MD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207XX0004X |
Orthopaedic Surgery Specialization: Foot and Ankle Surgery |
Allopathic & Osteopathic Physicians |
Other Name | Type Code |
---|---|
Central TX Orthopaedic Foot & Ankle Center | Former Legal Business Name - Organization |
Address | Telephone Number | Fax Number |
---|---|---|
1507 W Main St, Gatesville, TX 765281024 | 2543139559 | 2545227964 |
Street Address |
5100 FRANKLIN AVE |
City | WACO |
State | TX |
Zip Code | 76710-6922 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1760476337 | Paul Anthony Bednarz | Orthopaedic Surgery | 5100 Franklin Ave, Waco, TX 76710-6922 | 2005-09-09 |
1053863316 | Zachary Polk | Physical Therapist | 5100 Franklin Ave, Suite C, Waco, TX 76710-6922 | 2016-11-02 |
1447685854 | Kylie Marie Campbell | Physical Therapist | 5100 Franklin Ave, Waco, TX 76710-6922 | 2013-09-05 |
1912974932 | Robert E Wolf | Orthopaedic Surgery | 5100 Franklin Ave, Suite C, Waco, TX 76710-6922 | 2006-03-08 |
1003899972 | Jonathan Gordon Wash | Podiatrist | 5100 Franklin Ave, Suite C, Waco, TX 76710-6922 | 2005-11-23 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1740741156 | Jessica Cook-lindsay | Physical Therapist | 2121 W Hwy 6, Waco, Waco, TX 76710 | 2019-03-28 |
1306354824 | Paula A Huffhines | Technician, Other | 115 S 25th, Waco, TX 76710 | 2018-01-18 |
1982154639 | Nha Do | Pharmacist | 1301 Wood Acres, Waco, TX 76710 | 2016-10-06 |
1649662495 | Pediatric Advanced Life Services Home Health LLC | Home Health | 3640 W Waco Dr, Waco, TX 76710 | 2015-03-02 |
1881008795 | Soumava Sen, Dds, P.C. | Dentist | 4215 Franklin Ave, Ste. 300, Waco, TX 76710 | 2014-06-18 |
1053742221 | Dustin Dwain Kelm | Physical Therapist | 5400 Laurel Dr., Waco, TX 76710 | 2013-12-12 |
1881038776 | Penelope Diane Lane | Counselor | 7524 Bosque, Waco, TX 76710 | 2013-04-22 |
1538400627 | Erik Alexander Pernes Caluscusao | Physical Therapist | 415 Owen Ln Apt 911, Waco, TX 76710 | 2013-03-14 |
1447509039 | Sheree L Mach | Occupational Therapist | 5400 Laurel Lake Dr., Waco, TX 76710 | 2012-08-29 |
1568738425 | Ramanathan Anandaraman | Internal Medicine | 2608 Skyline Drive, Waco, TX 76710 | 2012-03-26 |
Find all providers in zip 76710 |
Taxonomy Code | 207XX0004X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Orthopaedic Surgery |
Specialization | Foot and Ankle Surgery |
Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, foot and ankle surgeons deal with adult reconstructive foot and ankle surgery, adult foot and ankle trauma, sports medicine foot and ankle, and children's foot and ankle reconstructive surgery. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: title modified, definiton added, source added] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Separate board certification is not currently offered. ACGME Accredited Residency Program Requirements: 1 year of training with 5 years Orthopedic Surgery for a total of 6 years. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1730647074 | Nix Physicians Inc. | Orthopaedic Surgery | 110 E Bandera Rd, Boerne, TX 78006-2802 | 2019-03-06 |
1598012148 | Douglas Odin Hansen | Orthopaedic Surgery | 6699 Chimney Rock Rd Ste 102, Houston, TX 77081-5339 | 2012-08-13 |
1881958940 | Michael James Frazier | Orthopaedic Surgery | 12609 Louetta Rd Ste B, Cypress, TX 77429-5136 | 2012-07-03 |
1952344657 | Andrew Marshall Ebert | Orthopaedic Surgery | 4611 Guadalupe St Ste 200, Austin, TX 78751-2928 | 2006-06-13 |
1013962810 | Stacy Anne Bacon | Orthopaedic Surgery | 21212 Northwest Fwy Ste 605, Cypress, TX 77429-5889 | 2006-05-23 |
1134189178 | Texas Tech University Health Sciences Center El Paso | Orthopaedic Surgery | 4801 Alberta Ave., 230c, El Paso, TX 79905 | 2006-03-24 |
1679544308 | William C Mcgarvey | Orthopaedic Surgery | 23920 Katy Freeway, Ste 160, Katy, TX 77494 | 2006-01-31 |
1235114927 | Darryl D Cuda | Orthopaedic Surgery | 8800 Village Dr, Suite 101, San Antonio, TX 78217-5412 | 2005-12-14 |
1023654258 | Chad M Kennedy Md Pa | Orthopaedic Surgery | 1600 S Coulter St Ste B, Amarillo, TX 79106-0703 | 2019-11-22 |
1770987422 | All Pro Rehabilitation, LLC | Orthopaedic Surgery | 4444 Heritage Trace Pkwy, Ste 404, Fort Worth, TX 76244 | 2014-10-09 |
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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.