SOUTHLAKE ORTHOPEDICS & SPORTS MEDICINE, PLLC (NPI# 1871099739) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871099739 |
| Entity Type | Organization |
| Organization Name | SOUTHLAKE ORTHOPEDICS & SPORTS MEDICINE, PLLC |
| Other Organization Name | SUMMIT ORTHOPEDICS OF TEXAS |
| Practice Address |
2120 N Macarthur Blvd Ste 100 Irving TX 75061-2260 |
| Mailing Address |
2600 E Southlake Blvd Ste 120-177 Southlake TX 76092-6634 |
| Practice Telephone | 2146319881 |
| Practice Fax Number | 9724382077 |
| Mailing Telephone | 2146319881 |
| Mailing Fax Number | 4694666101 |
| Enumeration Date | 2018-03-31 |
| Last Update Date | 2020-02-07 |
| Authorized Official Name | DR. BANTOO SEHGAL (OWNER) |
| Authorized Official Telephone | 2146319881 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | R0125 | TX | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Summit Orthopedics of Texas | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 245 W. Sh 114, Suite 300, Southlake, TX 760927609 | 2146319881 | 9724382077 |
| 800 12th Ave Ste 200, Fort Worth, TX 761042519 | 2146319881 | 9724382077 |
| Street Address |
2120 N MACARTHUR BLVD STE 100 |
| City | IRVING |
| State | TX |
| Zip Code | 75061-2260 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023055597 | Amanda Cottrell | Physician Assistant | 2120 N Macarthur Blvd Ste 100, Irving, TX 75061-2260 | 2006-06-01 |
| 1033773239 | Christine Hernandez | Physical Therapist | 2120 N Macarthur Blvd Ste 100, Irving, TX 75061-2260 | 2019-04-24 |
| 1982181764 | Marcela Alejandra Rojas Roman | Physical Therapist | 2120 N Macarthur Blvd Ste 100, Irving, TX 75061 | 2018-07-24 |
| 1972930378 | Alyssa Ann Klos | Physician Assistant | 2120 N Macarthur Blvd Ste 100, Irving, TX 75061-2260 | 2013-09-30 |
| 1629376264 | Jaytinder Singh Sandhu | Podiatrist | 2120 N Macarthur Blvd Ste 100, Irving, TX 75061-2260 | 2011-03-07 |
| 1558677690 | Bantoo Sehgal | Orthopaedic Surgery | 2120 N Macarthur Blvd Ste 100, Irving, TX 75061-2260 | 2010-08-26 |
| 1871739805 | Melanie Ann Schrink | Physician Assistant | 2120 N Macarthur Blvd Ste 100, Irving, TX 75061-2260 | 2008-12-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265925192 | Health Texas Provider Network | Durable Medical Equipment & Medical Supplies | 2021 N Macarthur Blvd Ste 300, Irving, TX 75061 | 2018-06-14 |
| 1356864722 | Candace Leann Mullens | Physician Assistant | 2005 West Park Dr., Ste. 100, Irving, TX 75061 | 2017-07-18 |
| 1922489541 | Azmat Shah | Clinical Medical Laboratory | 813 N. O'connor Road, Irving, TX 75061 | 2015-06-10 |
| 1689060261 | James Justin Walker | Specialist/Technologist | 900 O'connor Road, Irving, TX 75061 | 2015-04-10 |
| 1790171379 | Casey Elder | Specialist/Technologist | 900 North O'connor, Irving, TX 75061 | 2015-04-10 |
| 1720479900 | Jack C Lewis Jr. | Counselor | 4120 Hackmore Loop, Irving, TX 75061 | 2015-02-10 |
| 1972931186 | Linda Kottoor | Nurse Practitioner | 1800 North Britain Road, Irving, TX 75061 | 2013-10-24 |
| 1033457080 | Edel H Cruz Rosales | Hearing Instrument Specialist | 613 North O'connor Rd, Suite 29, Irving, TX 75061 | 2013-01-26 |
| 1346520293 | Tau Healing Services | Counselor | 1615 Cooper Dr., Irving, TX 75061 | 2011-08-24 |
| 1144520412 | Gibson Pharmacy | Pharmacy | 815 N. Oconnor, Irving, TX 75061 | 2010-11-02 |
| Find all providers in zip 75061 | ||||
| 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 |
|---|---|---|---|---|
| 1578078119 | Select Health of Tx, LLC | Orthopaedic Surgery | 6565 N Macarthur Blvd Ste 225a, Irving, TX 75039-2490 | 2017-12-05 |
| 1467808618 | Doctx3 Pllc | Orthopaedic Surgery | 3014 N. O'connor Rd., Suite 110, Irving, TX 75062 | 2016-05-06 |
| 1891006086 | Bruce M Faust | Orthopaedic Surgery | 400 Colony Ct, Irving, TX 75061-2176 | 2010-06-23 |
| 1629160700 | Carmelita A. Teeter | Orthopaedic Surgery | 6750 N Macarthur Blvd Ste 270, Irving, TX 75039 | 2006-09-28 |
| 1881695559 | Walter Grear Hurt | Orthopaedic Surgery | 400 W Lbj Fwy, # 330, Irving, TX 75063-3718 | 2005-08-03 |
| 1043798077 | Spine & Orthopedic Institute, Pa | Orthopaedic Surgery | 4301 N Macarthur Blvd Ste 100, Irving, TX 75038-6497 | 2018-08-01 |
| 1164864773 | Orthocare Institute, Pllc | Orthopaedic Surgery | 4301 N Macarthur Blvd, Suite 203, Irving, TX 75038-6497 | 2013-07-24 |
| 1992049803 | The Orthopedic Center of Las Colinas, Pa | Orthopaedic Surgery | 701 Tuscan Dr, Suite 225, Irving, TX 75039-4133 | 2012-11-15 |
| 1982892105 | Elite Orthopaedics of Irving Pllc | Orthopaedic Surgery | 6750 N Macarthur Blvd, Suite 305, Irving, TX 75039-2420 | 2007-10-12 |
| 1952593279 | Mark Kazewhych, Md | Orthopaedic Surgery | 2120 N Macarthur Blvd, Suite 100, Irving, TX 75061-2225 | 2007-08-10 |
| Find all providers in IRVING | ||||
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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.