VARSITY ORTHOPEDICS, P.A. (NPI# 1932317583) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932317583 |
| Entity Type | Organization |
| Organization Name | VARSITY ORTHOPEDICS, P.A. |
| Practice Address |
9545 N Beach St Ste 133 Fort Worth TX 76244-6471 |
| Mailing Address |
501 W Harwood Rd Hurst TX 76054-3163 |
| Practice Telephone | 8174311017 |
| Practice Fax Number | 8174311032 |
| Mailing Telephone | 8172682758 |
| Mailing Fax Number | 8172682802 |
| Enumeration Date | 2007-05-18 |
| Last Update Date | 2020-03-12 |
| Authorized Official Name | DR. CHRISTINE QUATRO OTT (DOCTOR OF OSTEOPATHY) |
| Authorized Official Telephone | 8174311017 |
| Authorized Official Credential | D.O. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207XX0005X |
Orthopaedic Surgery Specialization: Sports Medicine |
H8341 | TX | Allopathic & Osteopathic Physicians |
| N | 2080S0010X |
Pediatrics Specialization: Sports Medicine |
H8341 | TX | Allopathic & Osteopathic Physicians |
| Y | 207XP3100X |
Orthopaedic Surgery Specialization: Pediatric Orthopaedic Surgery |
H8341 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 110604901 | 05 | |
| TX | NPI NUMBER | 1366417883 | 01 |
| Street Address |
9545 N BEACH ST STE 133 |
| City | FORT WORTH |
| State | TX |
| Zip Code | 76244-6471 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538773510 | Aum Nitin Patel | Optometrist | 12584 N Beach Street #122, Keller, TX 76244 | 2020-09-07 |
| 1477178374 | Trinity Spine and Orthopedics, Pllc | Orthopaedic Surgery | 4444 Heritage Trace, Suite 408, Keller, TX 76244 | 2020-06-16 |
| 1235778622 | Hope Family Healthcare LLC | Nurse Practitioner | 4610 Heritage Trace Pkwy, Ste 400, Keller, TX 76244 | 2020-01-02 |
| 1104468917 | Kylie Ann Montgomery | Behavior Technician | 12650 N Beach St Suite 146, Fort Worth, TX 76244 | 2019-10-14 |
| 1376193433 | Ntkc - Dfw, Pllc | Internal Medicine | 10700 Victoria Ash Dr., Keller, TX 76244 | 2019-09-19 |
| 1629628532 | Today Dental of Saginaw Pllc | Dentist | 1628 Basswood Blvd, Fort Worth, TX 76244 | 2019-09-13 |
| 1962050492 | Precision Ambulatory Surgery Center, LLC | Ophthalmology | 9439 North Beach Street, Fort Worth, TX 76244 | 2019-08-28 |
| 1770145351 | Texas Health Spine Surgery Center Alliance LLC | Clinic/Center | 10900 Founders Way, Suite 100, Fort Worth, TX 76244 | 2019-07-03 |
| 1770048720 | Robin Jansen | Occupational Therapy Assistant | 4317 Oak Chase Dr, Keller, TX 76244 | 2019-02-04 |
| 1033687256 | Marian Abibatu James | Nurse Practitioner | 4516 Jaylin St, Keller, TX 76244 | 2018-11-06 |
| Find all providers in zip 76244 | ||||
| Taxonomy Code | 207XP3100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Pediatric Orthopaedic Surgery |
| An orthopedic surgeon who has additional training and experience in diagnosing, treating and managing musculoskeletal problems in infants, children and adolescents. These may include limb and spine deformities (such as club foot, scoliosis); gait abnormalities (limping); bone and joint infections; broken bones. |
| Notes: Source: American Academy of Pediatrics, www.aap.org [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205091683 | Gary Lee Douglas | Orthopaedic Surgery | 4020 Edgehill Rd, Fort Worth, TX 76116-7325 | 2008-07-24 |
| 1760619878 | John D Roaten | Orthopaedic Surgery | 1500 Cooper St, Fort Worth, TX 76104-2710 | 2009-06-16 |
| 1699912469 | Jason Matthew Kennedy | Orthopaedic Surgery | 1500 Cooper St, Fort Worth, TX 76104-2710 | 2009-01-14 |
| 1679789424 | Matthew Eugene Mayfield | Orthopaedic Surgery | 1500 Cooper St, Fort Worth, TX 76104-2710 | 2007-05-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093280463 | Baylor College of Medicine | Orthopaedic Surgery | 6363 San Felipe St Ste 150, Houston, TX 77057-2704 | 2018-10-11 |
| 1184945297 | Kathryn Denise Wiesman | Orthopaedic Surgery | 3533 South Alameda, Corpus Christi, TX 78411 | 2010-06-13 |
| 1477758050 | Jaclyn F Hill | Orthopaedic Surgery | 6701 Fannin St Ste 660, Ms Ccc660, Houston, TX 77030-2610 | 2007-06-15 |
| 1205047867 | Robert D Graham, Md | Orthopaedic Surgery | 12176 N Mopac Expy, Suite D, Austin, TX 78758-2908 | 2007-05-25 |
| 1902025000 | Samer Tawakkol Md Pa | Orthopaedic Surgery | 12121 Richmond Ave Ste 408, Houston, TX 77082-2439 | 2007-04-25 |
| 1770610636 | Southern Orthopaedics & Sports Medicine Pa | Orthopaedic Surgery | 5009 S Mccoll Road, Edinburg, TX 78539 | 2007-02-27 |
| 1962422386 | David Scott Brown | Orthopaedic Surgery | 245 West State Highway 114, Suite 300, Southlake, TX 76092 | 2006-07-20 |
| 1528003076 | Pediatric Orthopedic Associates of San Antonio | Orthopaedic Surgery | 4499 Medical Dr., Suite 235, San Antonio, TX 78229-3712 | 2006-06-18 |
| 1821050600 | Philip L Wilson | Orthopaedic Surgery | 5700 Dallas Pkwy, Frisco, TX 75034-9580 | 2006-04-05 |
| 1447224357 | Earl Austin Stanley Jr. | Orthopaedic Surgery | 8300 Floyd Dr, 3rd Fl -3c, San Antonio, TX 78229 | 2006-02-15 |
| Find all providers with the same taxonomy | ||||
| City | FORT WORTH |
| Zip Code | 76244 |
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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.