EAST TEXAS ORTHOPAEDICS PA (NPI# 1457322570) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457322570 |
| Entity Type | Organization |
| Organization Name | EAST TEXAS ORTHOPAEDICS PA |
| Practice Address |
2001 N Jefferson Ave Suite 100 Mount Pleasant TX 75455-2371 |
| Practice Telephone | 9035775661 |
| Practice Fax Number | 9035771401 |
| Mailing Telephone | 9035775661 |
| Mailing Fax Number | 9035771401 |
| Enumeration Date | 2006-01-27 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | SCOTT DENNIS ALLEN (DIRECTOR) |
| Authorized Official Telephone | 9035775661 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | Allopathic & Osteopathic Physicians |
| Street Address |
2001 N JEFFERSON AVE SUITE 100 |
| City | MOUNT PLEASANT |
| State | TX |
| Zip Code | 75455-2371 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467455261 | Alvin Ernest Glenn | Nurse Anesthetist, Certified Registered | 2001 N Jefferson Ave, Mount Pleasant, TX 75455-2371 | 2005-05-24 |
| 1285263970 | Lacy White | Registered Nurse | 2001 N Jefferson Ave, Mount Pleasant, TX 75455-2338 | 2020-04-03 |
| 1851921357 | Cheryl Ann Shovan | Registered Nurse | 2001 N Jefferson Ave, Mount Pleasant, TX 75455-2338 | 2020-01-23 |
| 1104383082 | Jami Lanette Baker | Nurse Practitioner | 2001 N Jefferson Ave, Mount Pleasant, TX 75455-2338 | 2019-02-27 |
| 1194281626 | Caleb Heath Mitchell | Nurse Anesthetist, Certified Registered | 2001 N Jefferson Ave, Mount Pleasant, TX 75455 | 2019-02-20 |
| 1780140194 | Angela Fritz | Nurse Practitioner | 2001 N Jefferson Ave, Mount Pleasant, TX 75455-2338 | 2019-02-11 |
| 1972068328 | Jordan Kreusch | Physical Therapy Assistant | 2001 N Jefferson Ave, Mount Pleasant, TX 75455-2338 | 2019-02-08 |
| 1659879443 | Laura Jean Arendt | Nurse Practitioner | 2001 N Jefferson Ave, Mount Pleasant, TX 75455-2338 | 2018-01-26 |
| 1417471566 | Nicole Kalgren | Nurse Practitioner | 2001 N Jefferson Ave, Mount Pleasant, TX 75455-2338 | 2017-07-31 |
| 1629505912 | Krystal Rachelle Bridwell | Nurse Practitioner | 2001 N Jefferson Ave, Mount Pleasant, TX 75455 | 2017-05-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801351242 | Dan P Mccauley Dds Pa | Dentist | 1603 North Jefferson Avenue, Mount Pleasant, TX 75455 | 2019-02-08 |
| 1427565282 | Thelma Louise Frazier | Registered Nurse | 2610 Greenhill Rd, Mount Pleasant, TX 75455 | 2018-01-02 |
| 1750812921 | Titus County Hospital District | Clinic/Center | 2015 Mulberry Ave Ste 260, Mount Pleasant, TX 75455 | 2017-03-21 |
| 1003367780 | Valerie Ann Snyder | Nurse Practitioner | 203 W 20th St Ste C, Mt Pleasant, TX 75455 | 2016-10-18 |
| 1417316803 | Gaurav Narang | Dentist | 1401 S. Jefferson Blvd., 4, Mount Pleasant, NV 75455 | 2016-02-15 |
| 1366828972 | The Lodge Assisted Living/memory Care | Assisted Living Facility | 1880 W 16th St, Mt Pleasant, TX 75455 | 2015-08-05 |
| 1740665413 | Megan Nye | Chiropractor | 1318 South Jefferson, Mount Pleasant, TX 75455 | 2015-07-23 |
| 1407277239 | Northeast Texas Community College Dental Hygiene Clinic | Dentist | 2886 Fm 1735, Chapel Hill Road, Mt. Pleasant, TX 75455 | 2013-12-20 |
| 1588917694 | Titus County Hospital District | Clinic/Center | 1610 S Jefferson Ave, Mount Pleasant, TX 75455 | 2012-10-26 |
| 1760792030 | Kay Madelon Harmon | Occupational Therapist | 2003 N. Edwards, Plesant Springs Healthcare Center, Mt. Plesant, TX 75455 | 2010-10-20 |
| Find all providers in zip 75455 | ||||
| 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 |
|---|---|---|---|---|
| 1124231949 | Orthopaedic Specialists of Charleston | Orthopaedic Surgery | 594 Lone Tree Dr, Mount Pleasant, SC 29464-8170 | 2007-05-08 |
| 1669583332 | Michael James Moutsatson | Orthopaedic Surgery | 2890 Health Parkway, Mount Pleasant, MI 48858 | 2006-08-31 |
| 1205823754 | Waddell H Gilmore IIi | Orthopaedic Surgery | 180 Wingo Way Ste 301, Mount Pleasant, SC 29464-1812 | 2005-09-30 |
| 1306336003 | Benjamin Cox Do Pllc | Orthopaedic Surgery | 2600 Three Leaves Dr, Mount Pleasant, MI 48858-5523 | 2018-05-17 |
| 1497132054 | Ortho Spine Surgery Associates | Orthopaedic Surgery | 6226 Bankers Rd, Suite 11, Mount Pleasant, WI 53403-9799 | 2015-05-04 |
| 1134460066 | Branko Prpa Md LLC | Orthopaedic Surgery | 6233 Bankers Rd, Suite 11, Mount Pleasant, WI 53403-9700 | 2013-03-01 |
| 1306104476 | Benjamin Andrew Cox | Orthopaedic Surgery | 2600 Three Leaves Dr, Mount Pleasant, MI 48858-5523 | 2012-04-26 |
| 1003112947 | Brian Thomas Zafonte | Orthopaedic Surgery | 3811 Spring St, Suite 102, Mount Pleasant, WI 53405-1667 | 2011-02-09 |
| 1205132321 | David Albert Liebelt | Orthopaedic Surgery | 3811 Spring St, Suite 102, Mount Pleasant, WI 53405-1667 | 2011-02-07 |
| 1811153158 | David R Ross | Orthopaedic Surgery | 3811 Spring St, Mount Pleasant, WI 53405 | 2008-08-06 |
| Find all providers in MOUNT PLEASANT | ||||
| City | MOUNT PLEASANT |
| Zip Code | 75455 |
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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.