JOHN SEVERIN KRISTOFERSON (NPI# 1235124314) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235124314 |
| Entity Type | Individual |
| Full Name | JOHN SEVERIN KRISTOFERSON |
| Credential | M.D. |
| Practice Address |
3325 Medpark Dr Denton TX 76210 |
| Mailing Address |
3325 Medpark Dr Denton TX 76210-6898 |
| Practice Telephone | 9403826757 |
| Practice Fax Number | 9403831894 |
| Mailing Telephone | 9403826757 |
| Mailing Fax Number | 9403831894 |
| Enumeration Date | 2005-09-15 |
| Last Update Date | 2018-08-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | F6842 | TX | Allopathic & Osteopathic Physicians |
| N | 207X00000X | Orthopaedic Surgery | TXF6842 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | BCBS | 8J2030 | 01 |
| TX | BCBS | 0020KD | 01 |
| TX | MEDICARE SUPPLIER NUMBER | 0474740001 | 01 |
| TX | PALMETTO GBA | 200002820 | 01 |
| Street Address |
3325 MEDPARK DR |
| City | DENTON |
| State | TX |
| Zip Code | 76210 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396965919 | John S Kristoferson Md Pa | Orthopaedic Surgery | 3325 Medpark Dr, Denton, TX 76210 | 2007-04-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609403716 | Corinth Community Pharmacy, LLC. | Pharmacy | 3001 F.m. 2181, Suite 450, Corinth, TX 76210 | 2020-03-26 |
| 1003467200 | Stephanie R Rynor I | Nurse Practitioner | 3001 Fm 2181 Ste 300, Corinth, TX 76210 | 2019-09-28 |
| 1417435389 | Ikids Pediatric Dentistry Denton, Pllc | Dentist | 1212 Bent Oaks Ct Ste 100, Denton, TX 76210 | 2018-08-02 |
| 1083100101 | Ahir Dental Pllc | Dentist | 3220 Teasley Ln, Suite#100, Dention, TX 76210 | 2018-07-02 |
| 1235636010 | Diane Michelle Dean | Counselor | 2701 Shoreline Drive, Denton, TX 76210 | 2018-04-09 |
| 1740709344 | Southridge Dental, LLC | Dentist | 3303 Unicorn Lake Blvd, Ste 200, Denton, TX 76210 | 2017-09-14 |
| 1356876601 | Cvs Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 1101 Fm 2181, Corinth, TX 76210 | 2017-04-25 |
| 1366990137 | Phee Dental Group | Dentist | 4920 Teasley Ln, Denton, TX 76210 | 2016-09-21 |
| 1265893283 | Ann Marie Norris | Respiratory Therapist, Registered | 3535 E I-35, Denton, TX 76210 | 2016-03-18 |
| 1447644778 | Santa Patricia Espinoza | Nurse Practitioner | 3537 South Interstate 35e, Ste. 210, Denton, TX 76210 | 2015-03-25 |
| Find all providers in zip 76210 | ||||
| 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 |
|---|---|---|---|---|
| 1336658228 | Doctx3 Pllc | Orthopaedic Surgery | 3303 Unicorn Lake Blvd Unit A, Denton, TX 76210-0102 | 2017-09-24 |
| 1649532078 | Adam Phillip Breceda | Orthopaedic Surgery | 3537 S Interstate 35 E Ste 112, Denton, TX 76210-6868 | 2012-06-12 |
| 1750668950 | Jeffery S. Cantrell, M.d. Pa | Orthopaedic Surgery | 3200 Colorado Blvd Ste 101, Denton, TX 76210-6875 | 2011-11-16 |
| 1013290949 | Myron R Zisman | Orthopaedic Surgery | 9313 Grandview Dr, Denton, TX 76207-6629 | 2011-09-27 |
| 1144434242 | Timothy Brad Larson | Orthopaedic Surgery | 2900 N I-35 Ste 200, Denton, TX 76201-5144 | 2007-05-09 |
| 1154452373 | Michael A. House, Md, Pa | Orthopaedic Surgery | 2535 W Oak Street, Denton, TX 76201 | 2007-03-08 |
| 1366509390 | Orthopedic Specialists of North Texas, LLP | Orthopaedic Surgery | 3537 S Interstate 35 E Ste 316, Denton, TX 76210-6850 | 2007-01-02 |
| 1336254523 | Michael A Catino | Orthopaedic Surgery | 2900 N I-35 Ste 300, Denton, TX 76201-5146 | 2006-08-20 |
| 1285613653 | Michael A House | Orthopaedic Surgery | 3537 S I 35 E Ste 316, Denton, TX 76210-6870 | 2006-01-12 |
| 1346242278 | Jay Stuart Bender | Orthopaedic Surgery | 2900 N Interstate 35 Ste 200, Denton, TX 76201-5144 | 2005-08-11 |
| Find all providers in DENTON | ||||
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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.