DR. WAGDY S RIZK (NPI# 1285602300) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285602300 |
| Entity Type | Individual |
| Full Name | DR. WAGDY S RIZK |
| Credential | M.D. |
| Practice Address |
3650 Laurel St Beaumont TX 77707-2216 |
| Practice Telephone | 4098380346 |
| Mailing Telephone | 4098380346 |
| Enumeration Date | 2006-03-14 |
| Last Update Date | 2007-07-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207XS0114X |
Orthopaedic Surgery Specialization: Adult Reconstructive Orthopaedic Surgery |
M3714 | TX | Allopathic & Osteopathic Physicians |
| Street Address |
3650 LAUREL ST |
| City | BEAUMONT |
| State | TX |
| Zip Code | 77707-2216 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346224359 | Sezefredo Paulo Depaiva | Orthopaedic Surgery | 3650 Laurel St, Beaumont, TX 77707-2216 | 2005-12-02 |
| 1316561715 | Brittany Paige Ellis | Registered Nurse | 3650 Laurel St, Beaumont, TX 77707-2216 | 2020-06-01 |
| 1952865552 | Katie C Holmes | Registered Nurse | 3650 Laurel St, Beaumont, TX 77707-2216 | 2019-01-28 |
| 1497239891 | Kristen Bradley | Registered Nurse | 3650 Laurel St, Beaumont, TX 77707-2216 | 2018-09-20 |
| 1619454220 | Traci Ann Rizk | Registered Nurse | 3650 Laurel St, Beaumont, TX 77707-2216 | 2018-07-26 |
| 1578076972 | Jason Sikes | Nurse Practitioner | 3650 Laurel St, Beaumont, TX 77707-2216 | 2017-11-08 |
| 1639431661 | Darryl Thomas Blalock | Orthopaedic Surgery | 3650 Laurel St, Beaumont, TX 77707-2216 | 2012-06-14 |
| 1447512843 | Jeffrey Craig Humphrey | Nurse Practitioner | 3650 Laurel St, Beaumont, TX 77707-2216 | 2012-06-12 |
| 1679880785 | Jessica Joanne Bobinger | Specialist/Technologist, Other | 3650 Laurel St, Beaumont, TX 77707-2216 | 2010-09-10 |
| 1972833085 | Audrey Helen Reyenga | Physician Assistant | 3650 Laurel St, Beaumont, TX 77707-2216 | 2010-01-12 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437718004 | Kelsey Marie Burt | Speech-Language Pathologist | 87 I-10, Beaumont, TX 77707 | 2019-06-07 |
| 1245898808 | Primary Care Anywhere, Pllc | Nurse Practitioner | 4347 Phelan, Suite 101, Beaumont, TX 77707 | 2019-05-30 |
| 1598321663 | Kacy Keitha Priddy | Occupational Therapist | 1846 I-10 S, Suite 102, Beaumont, TX 77707 | 2019-05-14 |
| 1144791963 | Jeffery Ray Manzer | Counselor | 3350 Dowlen Rd Suite J, Beaumont, TX 77707 | 2018-12-06 |
| 1497247217 | Haley Hebert | Speech-Language Pathologist | 87 I 10 N, Suite 225, Beaumont, TX 77707 | 2018-06-06 |
| 1548712383 | Taylor Miguez | Speech-Language Pathologist | 87 I-10 Frontage Rd #225, Beaumont, TX 77707 | 2016-10-27 |
| 1720534043 | Jacie Woodson | Speech-Language Pathologist | 87 I-10 Frontage Rd. 225, Beaumont, TX 77707 | 2016-08-28 |
| 1285187047 | Paula Boudreaux | Speech-Language Pathologist | 87 I-10 Frontage Rd, Suite 225, Beaumont, TX 77707 | 2016-07-28 |
| 1790138568 | Meagan Alyse Hartwick | Speech-Language Pathologist | 87 I-10 Frontage Rd., 225, Beaumont, TX 77707 | 2016-07-18 |
| 1376992578 | Laurie Lynette Jansky | Family Medicine | 3650 Laurel Ave, Beaumont, TX 77707 | 2016-06-08 |
| Find all providers in zip 77707 | ||||
| Taxonomy Code | 207XS0114X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Adult Reconstructive Orthopaedic Surgery |
| Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, adult reconstructive orthopaedic surgeons deal with reconstructive procedures such as joint arthroplasty (i.e., hip and knee), osteotomy, arthroscopy, soft-tissue reconstruction, and a variety of other adult reconstructive surgical procedures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Separate board certification is not currently offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326022146 | Marshall Wade Hayes | Orthopaedic Surgery | 3650 Laurel St, Beaumont, TX 77707-2216 | 2005-12-05 |
| 1033193859 | Ronald Eugene Talbert | Orthopaedic Surgery | 3650 Laurel St, Beaumont, TX 77707-2216 | 2005-12-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598108797 | Bone and Joint Surgery Associates, P.a. | Orthopaedic Surgery | 2122 Babcock Rd Ste 101, San Antonio, TX 78229-4411 | 2013-04-08 |
| 1578846002 | David Peter Brigati | Orthopaedic Surgery | Health Transformation Building, 1601 Trinity Street, Austin, TX 78712 | 2011-09-21 |
| 1831496983 | Gens Pierce Goodman | Orthopaedic Surgery | 4801 Alberta Ave Ste 101, Orthopaedic Surgery, El Paso, TX 79905-2707 | 2011-02-24 |
| 1699920256 | Vijayaraj Kannan | Orthopaedic Surgery | 6550 Fannin Street Suite 2500, The Methodist Hospital,center for Orthopaedic Surgery, Houston, TX 77030 | 2008-11-24 |
| 1023260478 | Jesse James Ferraris Exaltacion | Orthopaedic Surgery | 6550 Fannin St., Suite 2500 The Methodist Hospital, Center for Orthopaed, Houston, TX 77030 | 2008-10-16 |
| 1043483134 | Michael C Cusick | Orthopaedic Surgery | 601 Rockmead Dr Ste 100, Kingwood, TX 77339-2107 | 2008-04-09 |
| 1972787927 | Farbod Malek | Orthopaedic Surgery | 2122 Babcock Rd, Suite 101, San Antonio, TX 78229-4411 | 2007-12-27 |
| 1003018086 | Mario Joseph Quesada | Orthopaedic Surgery | 1201 E Alton Gloor Blvd, Suite B, Brownsville, TX 78526-3831 | 2007-06-01 |
| 1750400636 | Louise Marie Brooker | Orthopaedic Surgery | 4514 Cornell St, Suite B, Amarillo, TX 79109-5800 | 2007-03-29 |
| 1457429375 | The San Antonio Orthopaedic Group, LLP | Orthopaedic Surgery | 19138 Us Highway 281 N Ste 100, San Antonio, TX 78258-4988 | 2006-11-30 |
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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.