TEXAS KNEE & SPORTS MEDICINE CENTER, PA (NPI# 1982730461) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982730461 |
| Entity Type | Organization |
| Organization Name | TEXAS KNEE & SPORTS MEDICINE CENTER, PA |
| Practice Address |
4323 N Josey Lane Suite 307 Carrollton TX 75010-4630 |
| Practice Telephone | 9723940118 |
| Practice Fax Number | 9723941058 |
| Mailing Telephone | 9723940118 |
| Mailing Fax Number | 9723941058 |
| Enumeration Date | 2007-02-26 |
| Last Update Date | 2012-04-20 |
| Authorized Official Name | MR. LESLIE D JENNINGS (OWNER PRESIDENT) |
| Authorized Official Telephone | 9723940118 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | F9619 | TX | Allopathic & Osteopathic Physicians |
| Street Address |
4323 N JOSEY LANE SUITE 307 |
| City | CARROLLTON |
| State | TX |
| Zip Code | 75010-4630 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043782907 | Timothy C. Pringle Md Pa | Surgery | 4541 N. Josey Lane, Suite 140, Carrollton, TX 75010 | 2018-12-17 |
| 1184106411 | Cindy T Vu | Occupational Therapy Assistant | 1877 Cheyenne, Carrollton, TX 75010 | 2018-09-04 |
| 1639686256 | Little Lantern Hospice LLC | Hospice Care, Community Based | 4541 North Josey Lane, Suite 110-b, Carrollton, TX 75010 | 2018-01-04 |
| 1235681610 | Kahini Shah | Physical Therapist | 1012 W Hebron Pkwy Ste 124, Carrollton, TX 75010 | 2016-11-01 |
| 1881148849 | Wais Azesh | Dentist | 1233 Apache Lake Dr, Carrollton, TX 75010 | 2016-08-08 |
| 1225485055 | Julia Buckelew | Physical Therapist | 4100 Fairway Dr Ste 400, Carrollton, TX 75010 | 2016-05-23 |
| 1811355639 | Fastpass Ucc, Pllc | Clinic/Center | 4228 N Josey Ln Ste 150, Carrollton, TX 75010 | 2016-02-08 |
| 1326404393 | Miaojuan Li | Nurse Practitioner | 4100 Fairway Dr Ste 300, Carrollton, TX 75010 | 2016-01-06 |
| 1912376112 | Envoy Hospice North LLC | Hospice Care, Community Based | 4040 Tx-121, Carrollton, TX 75010 | 2015-09-17 |
| 1932593936 | Lifeway Hospice, LLC | Hospice Care, Community Based | 4040 State Highway 121, Suite 140, Carrollton, TX 75010 | 2015-03-27 |
| Find all providers in zip 75010 | ||||
| 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 |
|---|---|---|---|---|
| 1699710095 | Felix Segovia | Orthopaedic Surgery | 1810 S Josey Ln, Carrollton, TX 75006-7517 | 2006-06-19 |
| 1083011704 | Melanie Jordan | Orthopaedic Surgery | 150 Clinic Ave, Suite 101, Carrollton, GA 30117-4401 | 2014-11-24 |
| 1013354307 | John Arvesen | Orthopaedic Surgery | 4780 N Josey Ln, Carrollton, TX 75010-4615 | 2013-05-28 |
| 1851687081 | Felix Segovia Md Associated | Orthopaedic Surgery | 1810 S Josey Ln, Carrollton, TX 75006-7517 | 2011-06-27 |
| 1851696058 | Kevin R Myers | Orthopaedic Surgery | 4780 N Josey Ln, Carrollton, TX 75010-4615 | 2011-01-19 |
| 1396972386 | Brian C Fuller | Orthopaedic Surgery | 4780 N Josey Ln, Carrollton, TX 75010-4615 | 2009-06-17 |
| 1427216449 | Taylor Brandon Cates | Orthopaedic Surgery | 150 Clinic Ave, Suite 101, Carrollton, GA 30117-4401 | 2008-05-27 |
| 1356483747 | Carrollton Orthopaedic Clinic PC | Orthopaedic Surgery | 150 Clinic Ave, Suite 101, Carrollton, GA 30117-4401 | 2007-02-13 |
| 1801985643 | Mitchell Franklin Fagelman | Orthopaedic Surgery | 4780 N Josey Ln, Carrollton, TX 75010-4615 | 2006-10-12 |
| 1023107851 | Phillip Madsen Graehl | Orthopaedic Surgery | 4780 N Josey Ln, Carrollton, TX 75010-4615 | 2006-10-12 |
| Find all providers in CARROLLTON | ||||
| City | CARROLLTON |
| Zip Code | 75010 |
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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.