SHANE T SEROYER MD PA (NPI# 1902187701) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902187701 |
| Entity Type | Organization |
| Organization Name | SHANE T SEROYER MD PA |
| Practice Address |
515 W Mayfield Rd Ste 116 Arlington TX 76014-2084 |
| Practice Telephone | 8174190303 |
| Practice Fax Number | 8174685963 |
| Mailing Telephone | 8174190303 |
| Mailing Fax Number | 8174685963 |
| Enumeration Date | 2011-09-07 |
| Last Update Date | 2011-09-07 |
| Authorized Official Name | SHANE THOMAS SEROYER (PRESIDENT) |
| Authorized Official Telephone | 8174190303 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207XX0005X |
Orthopaedic Surgery Specialization: Sports Medicine |
N1887 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 204613801 | 05 |
| Street Address |
515 W MAYFIELD RD STE 116 |
| City | ARLINGTON |
| State | TX |
| Zip Code | 76014-2084 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376779520 | Regan Wong | Physical Medicine & Rehabilitation | 515 W Mayfield Rd Ste 116, Arlington, TX 76014-2084 | 2009-06-02 |
| 1235451451 | Andre James Mickan | Specialist/Technologist | 515 W Mayfield Rd Ste 116, Arlington, TX 76014-2084 | 2010-02-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629454574 | Melissa Higgins | Physical Therapist | 3050 Center St, Suite 140, Arlington, TX 76014 | 2015-08-03 |
| 1801228739 | A&i Pharmacy LLC | Pharmacy | 100 West Pioneer Pkwy #113b, Arlington, TX 76014 | 2013-08-02 |
| 1275972382 | Dentacare Dental of Collins Pa | Dentist | 2440 S Collins Street, Suite #140, Arlington, TX 76014 | 2013-06-21 |
| 1770826596 | Terry Ngoc Le | Internal Medicine | 3305 Meredith Dr, Arlington, TX 76014 | 2013-03-29 |
| 1407127194 | Top Rx Pharmacy | Pharmacy | 2381 S Collins St, Arlington, TX 76014 | 2012-01-26 |
| 1528344173 | Central Park Dental | Dentist | 3101 S. Center St, Suite #151, Arlington, TX 76014 | 2011-10-27 |
| 1902036239 | Prime Surgical Services | Physician Assistant | 3216 Winston Terrace #411, Arlington, TX 76014 | 2009-07-21 |
| 1588892251 | Yolanda Meashell Snell | Physician Assistant | 3216 Winston Terrace, 411, Arlington, TX 76014 | 2009-07-01 |
| 1780810259 | Cornerstone Pain Management | Anesthesiology | 501 N. Rita Ln, Suite 101, Arlington, TX 76014 | 2009-06-10 |
| 1053551580 | Citimed East | Family Medicine | 3310 S. Watson Road, Arlington, TX 76014 | 2009-02-24 |
| Find all providers in zip 76014 | ||||
| Taxonomy Code | 207XX0005X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Sports Medicine |
| An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton changed, source changed] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. ACGME Accredited Program Requirements: 1 year GME in the specialty + 5 years of Orthopaedic Surgery for a total of 6 years |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295774016 | Public Hospital Dist No 1 Skagit | Orthopaedic Surgery | 328 S. Stillaguamish Ave., Arlington, WA 98223-1660 | 2006-06-06 |
| 1730168444 | Keith Meister | Orthopaedic Surgery | 3533 Matlock Rd, Arlington, TX 76015-3604 | 2006-01-11 |
| 1215431663 | Orthoone Sports Medicine & Orthopaedics, Pllc | Orthopaedic Surgery | 11851 Will Harris Dr, Arlington, TN 38002 | 2018-03-21 |
| 1952818346 | Christina Suzanne Decaro | Orthopaedic Surgery | 3533 Matlock Rd, Arlington, TX 76015-3604 | 2018-01-07 |
| 1023530342 | Olivia Mae Larussa | Orthopaedic Surgery | 1701 N George Mason Dr, Arlington, VA 22205-3610 | 2017-07-07 |
| 1801057179 | Lindsey Nicole Dietrich | Orthopaedic Surgery | 902 W Randol Mill Rd Ste 120, Arlington, TX 76012-2579 | 2008-06-19 |
| 1487828430 | Ronald Paik | Orthopaedic Surgery | 1715 N George Mason Dr, Suite 504, Arlington, VA 22205-3609 | 2008-04-19 |
| 1447213996 | Charles Bradford Jackson | Orthopaedic Surgery | 2501 N Glebe Rd, Suite 201, Arlington, VA 22207-3558 | 2006-04-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366007833 | Tmh Physician Associates Pllc | Orthopaedic Surgery | 2220 E. League City Parkway, Suite 200, League City, TX 77573 | 2019-05-09 |
| 1194223644 | James R. Bocell | Orthopaedic Surgery | 2639 Fenwood Rd, Houston, TX 77005-3435 | 2018-01-30 |
| 1437657624 | Advanced Spine Center | Orthopaedic Surgery | 1705 Ohio Drive, Suite 300, Plano, TX 75093 | 2018-01-23 |
| 1073039244 | Aa Orthopedics | Orthopaedic Surgery | 2302 Fannin St Ste 410, Houston, TX 77002-9135 | 2017-08-18 |
| 1598203580 | Tmh Physician Associates Pllc | Orthopaedic Surgery | 12211 Kirby Dr, Suite 200, Houston, TX 77045-4859 | 2017-02-09 |
| 1184162158 | Tmh Physician Associates Pllc | Orthopaedic Surgery | 1677 W Baker Road, Suite 1701, Baytown, TX 77521-2422 | 2017-02-09 |
| 1033657002 | Tmh Physician Associates Pllc | Orthopaedic Surgery | 5505 West Loop S Ste 100, Houston, TX 77081 | 2017-02-09 |
| 1831637800 | Tmh Physician Associates Pllc | Orthopaedic Surgery | 2220 E League City Parkway, Ste 200, League City, TX 77573 | 2017-02-09 |
| 1326453168 | Dushi Parameswaran, Md Pa | Orthopaedic Surgery | 481 S Katy Fort Bend Rd # 210, Katy, TX 77494-0815 | 2014-06-30 |
| 1407266844 | Mark R Rogers Md Pa | Orthopaedic Surgery | 12000 Richmond Ave Ste 370, Houston, TX 77082-2964 | 2014-05-07 |
| 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.