DR. KENNETH A JURIST (NPI# 1538150776) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538150776 |
| Entity Type | Individual |
| Full Name | DR. KENNETH A JURIST |
| Credential | MD |
| Practice Address |
2720 North University Drive Nacogdoches TX 75965 |
| Practice Telephone | 9362059824 |
| Mailing Telephone | 9362059824 |
| Enumeration Date | 2005-11-04 |
| Last Update Date | 2013-06-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | P4325 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 1910708 | 05 |
| Street Address |
2720 NORTH UNIVERSITY DRIVE |
| City | NACOGDOCHES |
| State | TX |
| Zip Code | 75965 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649839135 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 3824 N University Drive, Suite 103, Nacogdoches, TX 75965 | 2019-06-10 |
| 1518520493 | Billy Jobe | Pharmacist | 917 East Austin, Nacogdoches, TX 75965 | 2019-04-17 |
| 1295217610 | Sarah Ponder | Registered Nurse | 625 Woodway Lane, Nacogdoches, TX 75965 | 2018-09-01 |
| 1083107684 | Aakash Deep Gupta | Dentist | 4610 North St Ste 101b, Nacogdoches, TX 75965 | 2018-06-08 |
| 1679097455 | Emily Morris Taravella | Counselor | 3524 Ne Stallings Drive, Nacogdoches, TX 75965 | 2017-08-02 |
| 1457809949 | Kassey Osborn | Nurse Practitioner | 4920 Ne Stallings Dr., Nacogdoches Medical Center, Nacogdoches, TX 75965 | 2016-09-14 |
| 1629426747 | Lisa Greathouse | Technician, Other | 500 Chincapin, Westville, OK 75965 | 2016-05-31 |
| 1457741704 | Nuch of Texas | Pediatrics | 1305 North Street, Nacogdoches, TX 75965 | 2015-01-26 |
| 1730506031 | Benjamin Patrick Thompson | Obstetrics & Gynecology | 4800 Ne Stallings Dr Ste 106, Nacogdoches, TX 75965 | 2014-03-25 |
| 1255761813 | Kallie Krawietz | Counselor | 2214 N Pecan Street, Nacogdoches, TX 75965 | 2013-11-19 |
| Find all providers in zip 75965 | ||||
| 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 |
|---|---|---|---|---|
| 1457469272 | David Dunning Sanderson | Orthopaedic Surgery | 4800 Ne Stallings Drive, Suite 108, Nacogdoches, TX 75965 | 2006-08-29 |
| 1366447419 | Edwin L. Ferren | Orthopaedic Surgery | 1023 N Mound St, Ste E, Nacogdoches, TX 75961-4453 | 2005-06-16 |
| 1336756980 | Ortholonestar, Pllc | Orthopaedic Surgery | 4800 Ne Stallings Dr Ste 110, Nacogdoches, TX 75965-1250 | 2020-09-28 |
| 1437686227 | Piney Woods Orthopedics | Orthopaedic Surgery | 613 Russell Blvd, Nacogdoches, TX 75965-1247 | 2017-05-11 |
| 1407294168 | Steven Overturf Md Pllc | Orthopaedic Surgery | 1300 N Mound St, Nacogdoches, TX 75961-4029 | 2013-06-04 |
| 1104192814 | Craig Sessions M.d.p.a | Orthopaedic Surgery | 5124 North St, Nacogdoches, TX 75965-1368 | 2012-03-27 |
| 1811216120 | Edwin L. Ferren, M.d. Pa | Orthopaedic Surgery | 1023 N Mound St, Suite E, Nacogdoches, TX 75961-4491 | 2010-05-26 |
| 1477713535 | James A Hurst | Orthopaedic Surgery | 613 Russell Blvd, Nacogdoches, TX 75965-1247 | 2008-06-12 |
| 1740454503 | Steven Overturf | Orthopaedic Surgery | 1300 N Mound St, Nacogdoches, TX 75961-4029 | 2008-04-14 |
| 1902019649 | Mclean Orthopaedics Pa | Orthopaedic Surgery | 1300 N Mound St, Nacogdoches, TX 75961-4029 | 2007-05-08 |
| Find all providers in NACOGDOCHES | ||||
| City | NACOGDOCHES |
| Zip Code | 75965 |
Please comment or provide details below to improve the information on DR. KENNETH A JURIST.
| 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.