NORTHEAST ORTHOPAEDIC & SPORTS MEDICINE, LLP (NPI# 1841580727) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841580727 |
| Entity Type | Organization |
| Organization Name | NORTHEAST ORTHOPAEDIC & SPORTS MEDICINE, LLP |
| Practice Address |
12709 Toepperwein Rd Suite 101 Live Oak TX 78233-3258 |
| Practice Telephone | 2104775151 |
| Practice Fax Number | 2104775152 |
| Mailing Telephone | 2104775151 |
| Mailing Fax Number | 2104775152 |
| Enumeration Date | 2011-04-13 |
| Last Update Date | 2011-04-13 |
| Authorized Official Name | DR. DAVID L FOX (MANAGING PARTNER) |
| Authorized Official Telephone | 2104775151 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | H5882 | TX | Other Service Providers |
| Street Address |
12709 TOEPPERWEIN RD SUITE 101 |
| City | LIVE OAK |
| State | TX |
| Zip Code | 78233-3258 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801885959 | Cesar Reyes | Obstetrics & Gynecology | 12709 Toepperwein Rd, Suite 309, Live Oak, TX 78233-3258 | 2005-10-20 |
| 1154920668 | Diana White | Nurse Practitioner | 12709 Toepperwein Rd, Live Oak, TX 78233-3258 | 2020-10-26 |
| 1821540774 | Northeast Orthopaedics & Sports Medicine | Physical Therapist | 12709 Toepperwein Rd, Live Oak, TX 78233-3258 | 2016-10-26 |
| 1457718512 | Tamela Arabit | Counselor | 12709 Toepperwein Rd, Live Oak, TX 78233-3258 | 2016-01-20 |
| 1750757787 | Rico Andres Buentello | Physical Therapist | 12709 Toepperwein Rd, Suite 101, Live Oak, TX 78233-3258 | 2015-08-13 |
| 1356732028 | Ashley Tubb | Physician Assistant | 12709 Toepperwein Rd, Suite 101, Live Oak, TX 78233-3258 | 2015-02-16 |
| 1063817260 | Northeast Orthopaedics & Sports Medicine, LLP | Clinic/Center | 12709 Toepperwein Rd, Suite 101, Live Oak, TX 78233-3259 | 2014-10-30 |
| 1386986347 | S. Rodrigo Burguete Md Pa | Internal Medicine | 12709 Toepperwein Rd, 201, Live Oak, TX 78233-3258 | 2013-03-18 |
| 1346523719 | Adrienne Renee Garcia | Nurse Practitioner | 12709 Toepperwein Rd, Suite 206, Live Oak, TX 78233-3258 | 2011-09-22 |
| 1225337769 | Darryl D. Cuda, M.d. Pa | Orthopaedic Surgery | 12709 Toepperwein Rd, Suite 101, Live Oak, TX 78233-3258 | 2011-03-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477162451 | Jennifer Chaghoury | Chore Provider | 4606 La Marquesa St, San Antonio, TX 78233 | 2020-07-27 |
| 1912515719 | Creative Health Care Management, LLC | Physical Therapist | 4415 Rio D'oro St, San Antonio, TX 78233 | 2020-07-17 |
| 1841822749 | Edilma Yosmara Medrano | Nurse's Aide | 209 Goforth Drive, San Antonio, TX 78233 | 2020-02-07 |
| 1578194411 | Jorge Javier Jaramillo De La Torre | Neurological Surgery | Cuauhtemoc 380, Col. Moderna, San Luis Potosi, SLP 78233 | 2020-01-29 |
| 1174182000 | Shenila Rajani Od Pllc | Optometrist | 12349 I-35, San Antonio, TX 78233 | 2019-06-13 |
| 1659935609 | Mff Amber Oaks LLC | Assisted Living Facility | 4415 Rio Doro St., San Antonio, TX 78233 | 2019-04-25 |
| 1457862302 | Antoinette Marie Powell | Massage Therapist | 14615 Interstate 35 N, Live Oak, TX 78233 | 2017-10-18 |
| 1154852150 | Dustin William Koenning | Pharmacist | 6019 Randolph Blvd., San Antonio, TX 78233 | 2017-03-22 |
| 1316481153 | U S Anesthesia Partners of Texas, Pa | Physician Assistant | 12602 Toepperwein Rd Ste 218, Live Oak, TX 78233 | 2016-12-13 |
| 1477096121 | Vanessa's Garden of Hope Assisted Living,llc | Assisted Living Facility | 4350 Shallow Water, San Antonio, TX 78233 | 2016-11-29 |
| Find all providers in zip 78233 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447691043 | April G Todd | Specialist | 11310 Forest Gleam, Live Oak, TX 78233-4822 | 2013-07-11 |
| 1730415613 | Steven Lance Blackstone | Specialist | 12402 Toepperwein Rd, Live Oak, TX 78233-3230 | 2009-10-27 |
| 1629196118 | Retina Institute of South Texas | Specialist | 11651 Toepperwein Rd, Ste 201, Live Oak, TX 78233-3147 | 2007-03-26 |
| 1427056431 | Frank T Dancuart | Specialist | 12705 Toepperwein Rd, Live Oak, TX 78233-3257 | 2005-07-13 |
| 1942207485 | Kochicheril N Moni | Specialist | 1116 Sw 11th Street, Live Oak, FL 32064 | 2005-06-30 |
| 1760485098 | Terence F Favazza | Specialist | 12709 Toepperwein Rd Ste 206, Live Oak, TX 78233-3260 | 2005-05-31 |
| 1508082132 | Wendall Bauman | Specialist | 11651 Toepperwein Rd, Ste 201, Live Oak, TX 78233-3147 | 2007-04-18 |
| 1235298365 | Dabas Cancer Institute, P.a. | Specialist | 12501 Judson Rd, Suite 102, Live Oak, TX 78233-4103 | 2006-12-06 |
| 1407889629 | Shafa Clinic | Specialist | 609 5th St Sw, Suite #3, Live Oak, FL 32064-2216 | 2006-07-09 |
| 1962432146 | James D Hedgepeth | Specialist | 11481 Toepperwein Rd, Suite 1201, Live Oak, TX 78233 | 2006-07-04 |
| Find all providers in LIVE OAK | ||||
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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.