ORTHOLONESTAR, PLLC (NPI# 1982201190) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982201190 |
| Entity Type | Organization |
| Organization Name | ORTHOLONESTAR, PLLC |
| Practice Address |
1905 S Donnybrook Ave Tyler TX 75701-4216 |
| Mailing Address |
3414 Golden Rd Tyler TX 75701-8336 |
| Practice Telephone | 9039397500 |
| Practice Fax Number | 9039397728 |
| Mailing Telephone | 9039397500 |
| Mailing Fax Number | 9039397728 |
| Enumeration Date | 2020-10-01 |
| Last Update Date | 2020-10-01 |
| Authorized Official Name | JENNIFER KINMAN (CEO) |
| Authorized Official Telephone | 5124391000 |
| Is Organization Subpart | Y |
| Parent Organization Name | ORTHOLONESTAR, PLLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Azalea Orthopedics & Sports Medicine Clinic | Doing Business As Name - Organization |
| 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 |
| 1215543566 | Ortholonestar, Pllc | Orthopaedic Surgery | 9301 North Central Expy, Tower 1, Ste 500, Dallas, TX 75231-7523 | 2020-09-22 |
| Street Address |
1905 S DONNYBROOK AVE |
| City | TYLER |
| State | TX |
| Zip Code | 75701-4216 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770571093 | Paul Blake Chlapek | Physician Assistant | 1905 S Donnybrook Ave, Tyler, TX 75701-4236 | 2005-10-11 |
| 1053946368 | Marc Reimers | Nurse Practitioner | 1905 S Donnybrook Ave, Tyler, TX 75701-4216 | 2020-03-06 |
| 1639313851 | G P Goodfried Md Pa | Orthopaedic Surgery | 1905 S Donnybrook Ave, Tyler, TX 75701-4236 | 2009-05-01 |
| 1750379061 | Gary Paul Goodfried | Orthopaedic Surgery | 1905 S Donnybrook Ave, Tyler, TX 75701-4236 | 2005-10-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962057059 | Gonzalo Fernandez | Physical Therapy Assistant | 753 S Beckham Ave, Tyler, TX 75701 | 2019-08-06 |
| 1215422654 | Adrianna Bussell | Nurse Practitioner | 1000 South Beckham, Tyler, TX 75701 | 2018-06-28 |
| 1285128017 | Idowu Akintokunbo Akinyele | Dentist | Aspen Dental, 4164 S Broadway Ave, Tyler, TX 75701 | 2018-06-15 |
| 1992208912 | Heather Renee Vancleave | Occupational Therapy Assistant | 1228 Louann Lane, Tyler, TX 75701 | 2018-03-15 |
| 1497260533 | Smile Workshop Mckinney, Pllc | Dentist | 301 N. Custer Rd, Mckinney, TX 75701 | 2017-12-12 |
| 1396266441 | Eye Surgery Center of East Texas, Pllc | Clinic/Center | 2448 E 5th St, Tyler, TX 75701 | 2017-06-29 |
| 1962936369 | Collins Complete Family Care | Nurse Practitioner | 1910 E Se Loop 323 # 176, Tyler, TX 75701 | 2017-04-12 |
| 1386187052 | Fellowship Health Team LLC | Home Health | 1124 S Fleishel Ave, Tyler, TX 75701 | 2016-11-29 |
| 1205382454 | Brenton Robinson | Nurse Practitioner | 1100 East Lake St, 160, Tyler, TX 75701 | 2016-08-28 |
| 1851846208 | Care First Pharmacy, LLC | Pharmacy | 1910 Roseland Blvd A, Tyler, TX 75701 | 2016-08-15 |
| Find all providers in zip 75701 | ||||
| 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 |
|---|---|---|---|---|
| 1245302819 | Alireza Behboudi | Orthopaedic Surgery | 700 Olympic Plaza Cir Ste 600, Tyler, TX 75701-1954 | 2006-11-15 |
| 1487640173 | James Robert Harris | Orthopaedic Surgery | 3414 Golden Rd, Tyler, TX 75701-8336 | 2005-09-27 |
| 1679579734 | David Carney | Orthopaedic Surgery | 505 S Fleishel Ave, Tyler, TX 75702-8413 | 2005-06-23 |
| 1144837691 | Ortholonestar, Pllc | Orthopaedic Surgery | 8101 S Broadway Ave, Tyler, TX 75703-5469 | 2020-09-29 |
| 1104433739 | Ortholonestar, Pllc | Orthopaedic Surgery | 3414 Golden Rd, Tyler, TX 75701-8336 | 2020-09-28 |
| 1770144701 | Olsv3 Pllc | Orthopaedic Surgery | 3414 Golden Rd, Tyler, TX 75701-8336 | 2019-06-20 |
| 1043505001 | Heather Leigh Licht | Orthopaedic Surgery | 1327 Troup Hwy, Tyler, TX 75701-4443 | 2011-06-17 |
| 1497082077 | Tyler Orthopedic Specialists Pa | Orthopaedic Surgery | 1814 Roseland Blvd, Tyler, TX 75701-4234 | 2009-11-03 |
| 1639313851 | G P Goodfried Md Pa | Orthopaedic Surgery | 1905 S Donnybrook Ave, Tyler, TX 75701-4236 | 2009-05-01 |
| 1780840603 | Jayesh Kishor Patel | Orthopaedic Surgery | 1327 Troup Hwy, Tyler, TX 75701-4443 | 2008-07-30 |
| Find all providers in TYLER | ||||
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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.