CY-FAIR BONE AND JOINT (NPI# 1174762579) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174762579 |
| Entity Type | Organization |
| Organization Name | CY-FAIR BONE AND JOINT |
| Other Organization Name | ADVANCED ORTHOPAEDICS AND SPORTS MEDICINE |
| Practice Address |
455 School St Suite 24 Tomball TX 77375-4595 |
| Mailing Address |
11800 Fm 1960 Rd W Houston TX 77065-3840 |
| Practice Telephone | 2819557577 |
| Practice Fax Number | 2819555875 |
| Mailing Telephone | 2819557577 |
| Mailing Fax Number | 2819555875 |
| Enumeration Date | 2009-02-10 |
| Last Update Date | 2011-11-23 |
| Authorized Official Name | DR. DAVID ROSS MACK (MANAGING PARTNER) |
| Authorized Official Telephone | 2819557577 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | MEDICARE PTAN | 00897R | 01 |
| Other Name | Type Code |
|---|---|
| Advanced Orthopaedics and Sports Medicine | Doing Business As Name - Organization |
| Street Address |
455 SCHOOL ST SUITE 24 |
| City | TOMBALL |
| State | TX |
| Zip Code | 77375-4595 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033113436 | Poonam Singh | Pediatrics | 455 School St, Ste 26, Tomball, TX 77375-4597 | 2005-06-13 |
| 1144861717 | Alicia Marie Quaglino | Occupational Therapy Assistant | 455 School St, Tomball, TX 77375-4595 | 2019-10-03 |
| 1033642764 | Aba Hagan | Nurse Practitioner | 455 School St, Suite 44, Tomball, TX 77375-4595 | 2017-04-10 |
| 1831637925 | Betty T Burton | Nurse Practitioner | 455 School St, Suite 30, Tomball, TX 77375-4595 | 2017-02-08 |
| 1417499914 | Obioha Emenanjo | Nurse Practitioner | 455 School St, Tomball, TX 77375-4595 | 2016-11-15 |
| 1174073381 | Stoni Lee Johnston | Nurse Practitioner | 455 School St, Suite 24, Tomball, TX 77375-4595 | 2016-10-12 |
| 1477949808 | Tamra Grotte | Nurse Practitioner | 455 School St, Suite #30, Tomball, TX 77375-4595 | 2015-04-13 |
| 1629388988 | Center for Medical Genetics, Pllc | Medical Genetics | 455 School St, Suite 12, Tomball, TX 77375-4595 | 2010-10-20 |
| 1881909034 | Acclaimed Cardiovascular Center Pa | Internal Medicine | 455 School St, Suite11, Tomball, TX 77375-4595 | 2010-08-12 |
| 1356573919 | Aosm Spine Services | Orthopaedic Surgery | 455 School St, Suite 24, Tomball, TX 77375-4595 | 2009-08-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063997997 | Michael Jahn | Counselor | 103 Tadpole Court, Woodlands, TX 77375 | 2018-09-26 |
| 1467943266 | Willow Creek Smiles Pllc | Clinic/Center | 9166 Farm To Market 2920 Rd, Suite 900, Tomball, TX 77375 | 2018-05-29 |
| 1962991315 | Betty Harbour | Technician | 10 Capri Bend, Tom Ball, TX 77375 | 2018-05-01 |
| 1336652353 | Juanita Dolores Paras | Occupational Therapy Assistant | 19203 Carriage Vale Ln, Tomball, TX 77375 | 2017-11-13 |
| 1215446885 | Ideal Dental of Augusta Pines Pllc | Dentist | 25760 Kuykendahl, Suite A, Tomball, TX 77375 | 2017-09-26 |
| 1285151936 | Cagney Reeves | Pharmacist | 28520 Tobmall Parkway, Tomball, TX 77375 | 2017-08-24 |
| 1710411616 | Perseverance Heatlh Innovation Ltd | Contractor | 21706 Willow Downs, Tomball, TX 77375 | 2017-04-18 |
| 1972042158 | Rite Choice Healthcare, Pllc | Dentist | 27030 Tomball Pkwy, Tomball, TX 77375 | 2017-02-21 |
| 1306398029 | Pharmcare Usa of Houston LLC | Pharmacy | 420 Chestnut Business Park Dr., Suite C, Tomball, TX 77375 | 2016-10-28 |
| 1992256325 | Wal-mart Stores Texas, LLC | Technician/Technologist | 25800 Kuykendahl Road, Tomball, TX 77375 | 2016-10-20 |
| Find all providers in zip 77375 | ||||
| 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 |
|---|---|---|---|---|
| 1306992094 | Jerry L. Hyatt, M.d. P.a. | Orthopaedic Surgery | 602 Lawrence, Suite E, Tomball, TX 77375-3331 | 2007-01-26 |
| 1073624920 | Carlos Kugler | Orthopaedic Surgery | 1305 Keefer Rd Ste 101, Tomball, TX 77375 | 2006-08-31 |
| 1912973876 | Jerry Lee Hyatt | Orthopaedic Surgery | 602 Lawrence St, Tomball, TX 77375-3331 | 2006-02-28 |
| 1205831328 | Husam Bahrani | Orthopaedic Surgery | 13635 Michel Rd, Tomball, TX 77375-6410 | 2005-06-15 |
| 1184186058 | Conner Ray Hargis | Orthopaedic Surgery | 13603 Michel Rd, Tomball, TX 77375-6410 | 2019-04-01 |
| 1043503238 | Kaku Barkoh | Orthopaedic Surgery | 13603 Michel Rd, Tomball, TX 77375-6410 | 2011-05-20 |
| 1164603866 | Darin D Tessier | Orthopaedic Surgery | 24721 Tomball Pkwy, Tomball, TX 77375 | 2007-11-21 |
| 1548392954 | Jeffrey Kevin Smith | Orthopaedic Surgery | 13635 Michel Rd, Tomball, TX 77375-6410 | 2007-03-12 |
| 1285658831 | Texas Orthopaedic & Sports Medicine | Orthopaedic Surgery | 13603 Michel Rd, Tomball, TX 77375-6410 | 2006-07-27 |
| 1316979362 | Michael J Leahy | Orthopaedic Surgery | 13635 Michel Rd, Tomball, TX 77375-6410 | 2006-07-07 |
| Find all providers in TOMBALL | ||||
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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.