JOHN M. FACKLER M.D. PA (NPI# 1184904765) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184904765 |
| Entity Type | Organization |
| Organization Name | JOHN M. FACKLER M.D. PA |
| Practice Address |
1501 River Pointe Dr Suite 100 Conroe TX 77304-2656 |
| Practice Telephone | 9365392663 |
| Practice Fax Number | 9365392664 |
| Mailing Telephone | 9365392663 |
| Mailing Fax Number | 9365392664 |
| Enumeration Date | 2011-08-26 |
| Last Update Date | 2014-02-07 |
| Authorized Official Name | JOHN M FACKLER (PRESIDENT/OWNER) |
| Authorized Official Telephone | 9365392663 |
| Authorized Official Credential | M.D. PA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | K2687 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 031123501 | 05 |
| Street Address |
1501 RIVER POINTE DR SUITE 100 |
| City | CONROE |
| State | TX |
| Zip Code | 77304-2656 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174526990 | River Oaks Endoscopy LLP | Clinic/Center | 1501 River Pointe Dr, # 260, Conroe, TX 77304-2656 | 2005-05-24 |
| 1659774149 | Anita Arora Gill, Md Pllc | Dermatology | 1501 River Pointe Dr, Suite 140, Conroe, TX 77304-2656 | 2014-09-29 |
| 1538461090 | Richard Earle Collier Md Pa | Surgery | 1501 River Pointe Dr, Suite 150, Conroe, TX 77304-2656 | 2010-12-03 |
| 1750603254 | Anita Arora Gill | Dermatology | 1501 River Pointe Dr, Suite 140, Conroe, TX 77304-2656 | 2010-02-24 |
| 1578701256 | Glenda Cooley | Physical Therapist | 1501 River Pointe Dr, Suite 130, Conroe, TX 77304-2656 | 2009-02-03 |
| 1821274747 | Matthew Soileau | Physical Therapist | 1501 River Pointe Dr, Suite 130, Conroe, TX 77304-2656 | 2008-01-10 |
| 1982884441 | James Westmoreland, M.d. Pa | Orthopaedic Surgery | 1501 River Pointe Dr, Suite 100, Conroe, TX 77304-2656 | 2007-11-13 |
| 1376723833 | Travis W. Hird, M.d. Pa | Physical Medicine & Rehabilitation | 1501 River Pointe Dr, Suite 100, Conroe, TX 77304-2656 | 2007-11-13 |
| 1255526265 | Conroe Tx Endoscopy Asc LLC | Clinic/Center | 1501 River Pointe Dr, Suite 260, Conroe, TX 77304 | 2007-09-12 |
| 1326257312 | Pooja Rao | Physical Therapist | 1501 River Pointe Dr, Suite 130, Conroe, TX 77304-2656 | 2007-05-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194348649 | Neuropsychiatric Hospital of Greater Houston, LLC | Psychiatric Hospital | 1317 South Loop Road 336 West, Conroe, TX 77304 | 2020-05-19 |
| 1780148676 | Muve - Conroe Ambulatory Surgical Center, LLC | Clinic/Center | 1246 N Farm To Market 3083 Rd W, Conroe, TX 77304 | 2019-01-25 |
| 1922591411 | Bradley Leiker II | Dentist | 381 South Loop 336 West Suite 500, Conroe, TEXAS 77304 | 2018-06-11 |
| 1598266009 | Chapman Pain Consultants | Anesthesiology | 4015 I45 North, Suite 230-1, Conroe, TX 77304 | 2018-02-21 |
| 1063932366 | Jonathan Garcia | Specialist/Technologist | 1716 Summergate Drive, Conroe, TX 77304 | 2017-06-27 |
| 1932634169 | 3083 Imaging LLC | Clinic/Center | 1246 N Fm 3083 West, Conroe, TX 77304 | 2017-04-25 |
| 1881138758 | Bolt Urgent Care and Imaging Center, LLC | Clinic/Center | 1246 Fm 3083 West, Conroe, TX 77304 | 2016-12-13 |
| 1497106272 | The Rio At Conroe, LLC | Skilled Nursing Facility | 604 South Conroe Medical Drive, Conroe, TX 77304 | 2016-06-23 |
| 1093165615 | Melanie Kay Plaster | Behavioral Analyst | 2626 Silver Shadow, Conroe, TX 77304 | 2016-06-14 |
| 1508249798 | Conroe Willis Family Medicine, Pllc | Family Medicine | 4015 I 45 N Ste 220, Conroe, TX 77304 | 2015-07-07 |
| Find all providers in zip 77304 | ||||
| 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 |
|---|---|---|---|---|
| 1730274440 | Howard L Crockett | Orthopaedic Surgery | 1501 River Pointe Dr Ste 100, Conroe, TX 77304-2860 | 2006-10-04 |
| 1558353177 | John C Sparks Jr. | Orthopaedic Surgery | 1020 Riverwood Ct., #340, Conroe, TX 77304 | 2005-08-19 |
| 1689062135 | Surgical Specialists of Conroe, Pllc | Orthopaedic Surgery | 500 Medical Center Blvd, Suite 218, Conroe, TX 77304-2889 | 2015-01-07 |
| 1952664419 | Hlc Orthopedics Pllc | Orthopaedic Surgery | 1501 River Pointe Dr Ste 100, Conroe, TX 77304-2860 | 2012-06-20 |
| 1952682312 | John C. Sparks Jr. Md | Orthopaedic Surgery | 1020 Riverwood Ct, Suite 340, Conroe, TX 77304 | 2011-08-30 |
| 1982884441 | James Westmoreland, M.d. Pa | Orthopaedic Surgery | 1501 River Pointe Dr, Suite 100, Conroe, TX 77304-2656 | 2007-11-13 |
| 1962572602 | The Center for Orthopaedics and Sports Medicine | Orthopaedic Surgery | 1501 River Pointe Dr, Suite 100, Conroe, TX 77304-2656 | 2006-11-09 |
| 1174553697 | David Michael Dromsky | Orthopaedic Surgery | 504 Medical Center Blvd, Building 500, Suite 219, Conroe, TX 77304-2808 | 2006-07-03 |
| 1104818897 | James Westmoreland | Orthopaedic Surgery | 1501 River Pointe Dr, Suite 100, Conroe, TX 77304-2860 | 2005-08-18 |
| 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 |
| 1609483767 | Eric Sides, M.d., Pa | Orthopaedic Surgery | 820 E Redd Rd Bldg B, El Paso, TX 79912-7275 | 2020-09-23 |
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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.