DR. JAMIE E GOTTLIEB (NPI# 1811979842) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811979842 |
| Entity Type | Individual |
| Full Name | DR. JAMIE E GOTTLIEB |
| Credential | M.D. |
| Practice Address |
2535 W Oak St Denton TX 76201-2331 |
| Mailing Address |
220 N Ridgeway Dr Cleburne TX 76033-4115 |
| Practice Telephone | 9403821577 |
| Practice Fax Number | 9403875471 |
| Mailing Telephone | 8177745008 |
| Mailing Fax Number | 8177745034 |
| Enumeration Date | 2005-11-16 |
| Last Update Date | 2019-07-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207XS0117X |
Orthopaedic Surgery Specialization: Orthopaedic Surgery of the Spine |
K9790 | TX | Allopathic & Osteopathic Physicians |
| N | 207XS0117X |
Orthopaedic Surgery Specialization: Orthopaedic Surgery of the Spine |
01059066A | IN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | ANTHEM BCBS | 000000567134 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1904 Lake Ave, Plymouth, IN 465637828 | 5742147504 | 5742623214 |
| 230 E Day Rd Ste 180, Mishawaka, IN 465453463 | 5742147504 | |
| 2535 W Oak St, Denton, TX 762012331 | 9403821577 | 9403875471 |
| 5218 Beck Dr Ste 9&10, Elkhart, IN 46516 | 5742147504 | 5742623214 |
| Street Address |
2535 W OAK ST |
| City | DENTON |
| State | TX |
| Zip Code | 76201-2331 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457977365 | Orthopedic Specialists of North Texas, Pllc | Orthopaedic Surgery | 2535 W Oak St, Denton, TX 76201-2331 | 2020-06-17 |
| 1720608391 | Kole Pierre Knutson | Physician Assistant | 2535 W Oak St, Denton, TX 76201-2331 | 2020-04-23 |
| 1588298475 | Michael Alan Proctor | Specialist/Technologist | 2535 W Oak St, Denton, TX 76201-2331 | 2020-02-28 |
| 1508406448 | Amber Lynn Marlett | Specialist/Technologist | 2535 W Oak St, Denton, TX 76201-2331 | 2020-01-08 |
| 1225597396 | Orthopedic Specialists of North Texas | Durable Medical Equipment & Medical Supplies | 2535 W Oak St, Denton, TX 76201-2331 | 2019-03-18 |
| 1679014682 | Janelle M Topliff | Physical Therapist | 2535 W Oak St, Denton, TX 76201-2331 | 2017-03-10 |
| 1043763394 | Benjamin Stephen Gloff | Physical Therapist | 2535 W Oak St, Denton, TX 76201-2331 | 2016-08-03 |
| 1558708750 | Lester Tenghu Abey | Physical Therapist | 2535 W Oak St, Denton, TX 76201-2331 | 2013-05-29 |
| 1538458567 | Christopher W Flowers | Orthopaedic Surgery | 2535 W Oak St, Denton, TX 76201-2331 | 2011-03-30 |
| 1205137718 | Orthotexas Physicians and Surgeons, Pllc | Specialist | 2535 W Oak St, Denton, TX 76201 | 2010-11-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235779885 | Darren Duy Pham | Optometrist | 1800 W Chestnut St # 101, Denton, TX 76201 | 2020-01-12 |
| 1184276032 | Daniel Max & Marc Andrea LLC | Optometrist | 2505 W University Dr #1015, Denton, TX 76201 | 2019-07-11 |
| 1396254975 | Ideal Dental of Denton Pllc | Dentist | 2200 W University Drive, Suite 120, Denton, TX 76201 | 2017-09-26 |
| 1861919144 | Mary Lenore Garcia | Nurse Practitioner | 2435 W. Oak St., Suite 103, Denton, TX 76201 | 2017-08-28 |
| 1275065724 | Daneydy Hernandez | Dietitian, Registered | 721 Locust St., Denton, TX 76201 | 2017-04-03 |
| 1073998118 | National Vision, Inc. | Technician/Technologist | 2600 W University Dr, Ste 1240, Denton, TX 76201 | 2015-07-29 |
| 1326420555 | Brittany Ann Ortiz | Occupational Therapist | 2620 Scripture Street, Denton, TX 76201 | 2015-06-24 |
| 1932581253 | Kim Tien Blois | Optometrist | 1800 W Chestnut St Ste 101, Denton, TX 76201 | 2015-06-23 |
| 1679969257 | Allison Haffey | Physical Therapist | 26260 Scripture St, Denton, TX 76201 | 2015-04-10 |
| 1982001319 | Cvs Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 1510 W Hickory St, Denton, TX 76201 | 2014-12-01 |
| Find all providers in zip 76201 | ||||
| Taxonomy Code | 207XS0117X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Orthopaedic Surgery of the Spine |
| Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive. |
| 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 |
|---|---|---|---|---|
| 1164967824 | John C Mcelroy Md Pa | Orthopaedic Surgery | 3200 Colorado Blvd Ste 101, Denton, TX 76210-6875 | 2017-01-04 |
| 1346283348 | Michael Scott Hisey | Orthopaedic Surgery | 2817 S Mayhill Rd, Suite 100, Denton, TX 76208-5966 | 2006-06-14 |
| 1245273382 | William Daniel Bradley | Orthopaedic Surgery | 2817 S Mayhill Rd, Suite 100, Denton, TX 76208-5966 | 2006-06-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336761584 | Jfc Medical, Pllc | Orthopaedic Surgery | 6470 Naples Dr, Irving, TX 75039-4167 | 2020-05-11 |
| 1740812221 | Granthem Pllc | Orthopaedic Surgery | 8440 Walnut Hill Ln Ste 230, Dallas, TX 75231-3816 | 2020-02-12 |
| 1184270845 | Spine Dfw Pa | Orthopaedic Surgery | 440 W Lbj Fwy Ste 465, Irving, TX 75063-3869 | 2019-08-16 |
| 1083268338 | Mp Surgical Assists LLC | Orthopaedic Surgery | 4012 Duval St Unit B, Austin, TX 78751-5110 | 2019-07-25 |
| 1215405402 | Houston Scoliosis & Spine Institute, LLC | Orthopaedic Surgery | 3534 Vista Rd Ste 2000, Pasadena, TX 77504-1728 | 2018-11-06 |
| 1306332481 | Craig C Callewart Md Pa | Orthopaedic Surgery | 17051 Dallas Pkwy Ste 420, Addison, TX 75001-7115 | 2018-07-02 |
| 1013415397 | Total Joint Cin of West Texas LLC | Orthopaedic Surgery | 18911 Hardy Oak Blvd # B, San Antonio, TX 78258-4967 | 2018-01-31 |
| 1750889036 | Total Joint Cin of Austin LLC | Orthopaedic Surgery | 401 Congress Ave Ste 1540b, Austin, TX 78701-4071 | 2018-01-31 |
| 1578071452 | Spine Cin of West Texas LLC | Orthopaedic Surgery | 18911a Hardy Oak Blvd, San Antonio, TX 78258-4966 | 2018-01-13 |
| 1205344181 | Spine Cin of Austin LLC | Orthopaedic Surgery | 401 Congress Ave # 1540a, Austin, TX 78701-4071 | 2018-01-13 |
| Find all providers with the same taxonomy | ||||
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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.