NORTHEAST ORTHOPAEDICS & SPORTS MEDICINE, LLP
NPI 1124366547
Specialist in San Antonio, TX
NPI Status: Active since January 18, 2013
Contact Information
8715 VILLAGE DR
SUITE 120
SAN ANTONIO, TX
ZIP 78217
Phone: (210) 477-5151
Fax: (210) 477-5152
- Organization
- Specialist
- CLIA Number: 45D0502178
- CLIA Cert. Type: Hospital
- CLIA Exp. Date: 02-08-2027
About NORTHEAST ORTHOPAEDICS & SPORTS MEDICINE, LLP
This page provides the complete NPI Profile along with additional information for Northeast Orthopaedics & Sports Medicine, Llp, a provider established in San Antonio, Texas operating as a Specialist. The healthcare provider is registered in the NPI registry with number 1124366547 assigned on January 2013. The practitioner's primary taxonomy code is 174400000X with license number H5882 (TX). The provider is registered as an organization and their NPI record was last updated 13 years ago. Northeast Orthopaedics & Sports Medicine, Llp operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The authorized official of this NPI record is Dr. David Lester Fox M.d. (Managing Partner)
- NPI
- 1124366547
- Provider Name
- NORTHEAST ORTHOPAEDICS & SPORTS MEDICINE, LLP
- Entity Type
- Organization
- Location Address
- 8715 VILLAGE DR SUITE 120 SAN ANTONIO, TX 78217
- Location Phone
- (210) 477-5151
- Location Fax
- (210) 477-5152
- Mailing Address
- 12709 TOEPPERWEIN RD SUITE 101 LIVE OAK, TX 78233
- Mailing Phone
- (210) 477-5151
- Mailing Fax
- (210) 477-5152
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 01-18-2013
- Last Update Date
- 01-18-2013
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Specialist
- Taxonomy Code
- 174400000X
- Type
- Other Service Providers
- License No.
- H5882
- License State
- TX
- Taxonomy Description
- 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.
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| TXB129769 | MEDICARE PIN (08) | TX |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 45D0502178
- Facility Type
- Hospital
- Certificate Effective Date
- February 09, 2025
- Certificate Expiration Date
- February 08, 2027
- Laboratory Director
- DR. TERESA A. DURAN
- Certificate Type
- Certificate of Accreditation
- Certificate Type Description
- This is a CLIA certificate is issued to Northeast Orthopaedics & Sports Medicine, Llp on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high complexity) testing.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 1 | 2 | 4 | 3 | 6 | 6 | 5 | 4 | 7 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 1 | 4 | 4 | 6 | 6 | 12 | 5 | 8 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 1 + 4 + 4 + 6 + 6 + 1 + 2 + 5 + 8 + 24 = 63 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 63 = 7 | 7 | ||||||||
The NPI number 1124366547 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1548263874 | DR. CAROL E WRATTEN M.D. Individual | Obstetrics & Gynecology | 8715 VILLAGE DR STE 300 SAN ANTONIO, TX 78217 (210) 946-7300 |
| 1407853740 | NORTHEAST BAPTIST SURGERY CENTER LLC Organization | Clinic/Center (Ambulatory Surgical) | 8715 VILLAGE DR SUITE 200 SAN ANTONIO, TX 78217 (210) 477-1775 |
| 1336140680 | WILLIAM CARL SMITH M.D. Individual | Otolaryngology | 8715 VILLAGE DR STE 618 SAN ANTONIO, TX 78217 (210) 967-7377 |
| 1275526188 | MR. BENJAMIN R MILLAR MD Individual | Psychiatry & Neurology (Neurology) | 8715 VILLAGE DR SUITE 500 SAN ANTONIO, TX 78217 (210) 655-3800 |
| 1245229434 | DR. REBECCA C CAVAZOS Individual | Obstetrics & Gynecology (Gynecology) | 8715 VILLAGE DR SUITE 418 SAN ANTONIO, TX 78217 (210) 656-3040 |
| 1538158720 | DR. LUIS L CASTELLANOS M.D. Individual | Obstetrics & Gynecology | 8715 VILLAGE DR SUITE 418 SAN ANTONIO, TX 78217 (210) 656-3040 |
| 1023064524 | DR. DONALD DAVID DILWORTH M.D. Individual | Surgery | 8715 VILLAGE DR SUITE 608 SAN ANTONIO, TX 78217 (210) 657-2100 |
| 1588611024 | KEVIN PATRICK COMFORT M.D. Individual | Family Medicine | 8715 VILLAGE DR SUITE 510 SAN ANTONIO, TX 78217 (210) 637-0000 |
| 1851338420 | DORIS DERWEN LING M.D. Individual | Family Medicine | 8715 VILLAGE DR SUITE 510 SAN ANTONIO, TX 78217 (210) 637-0000 |
| 1538102918 | JENATTA FREEMAN MD Individual | Obstetrics & Gynecology | 8715 VILLAGE DR SUITE 418 SAN ANTONIO, TX 78217 (210) 656-3040 |
| 1417978180 | ALICIA DANIELS PA-C Individual | Physician Assistant | 8715 VILLAGE DR SUITE#514 SAN ANTONIO, TX 78217 (210) 637-0641 |
| 1255340626 | DR. WILLIAM CAMERON POWELL M.D. Individual | Obstetrics & Gynecology | 8715 VILLAGE DR SUITE 410 SAN ANTONIO, TX 78217 (210) 653-5501 |
| 1417065947 | CANCER CARE NETWORK OF SOUTH TEXAS PA Organization | Internal Medicine (Hematology & Oncology) | 8715 VILLAGE DR SUITE#514 SAN ANTONIO, TX 78217 (210) 637-0641 |
| 1225180375 | MICHAEL R. NATALINO M.D. Individual | Specialist | 8715 VILLAGE DR STE#320 SAN ANTONIO, TX 78217 (210) 656-3109 |
| 1730214396 | TEXAS HEALTHNET MEDICAL CLINIC LTD. Organization | Family Medicine | 8715 VILLAGE DR SUITE 612 SAN ANTONIO, TX 78217 (210) 653-7444 |
| 1295959757 | JACK L. EARLE, M.D., P.A. Organization | Orthopaedic Surgery | 8715 VILLAGE DR SUITE 600 SAN ANTONIO, TX 78217 (210) 656-6721 |
| 1235338856 | GEORGE PALOMINO, MD PA Organization | Internal Medicine (Cardiovascular Disease) | 8715 VILLAGE DR SUITE 400 SAN ANTONIO, TX 78217 (210) 646-6556 |
| 1710178710 | RIVER CITY NEUROLOGY PA Organization | Psychiatry & Neurology (Neurology) | 8715 VILLAGE DR SUITE 500 SAN ANTONIO, TX 78217 (210) 490-5547 |
| 1174716971 | EDWARD E HORVATH DO PA Organization | Surgery | 8715 VILLAGE DR SUITE 608 SAN ANTONIO, TX 78217 (210) 657-2100 |
| 1104001171 | CAREMED HEALTH SERVICES P.A Organization | Family Medicine | 8715 VILLAGE DR SUITE 320 SAN ANTONIO, TX 78217 (210) 656-3109 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1124366547, enumerated in the NPI registry as an "organization" on January 18, 2013
The provider is located at 8715 Village Dr Suite 120 San Antonio, Tx 78217 and the phone number is (210) 477-5151
This medical organization specializes in Specialist with taxonomy code 174400000X
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
The provider's CLIA number is 45D0502178 for a "hospital" facility with a CLIA Certificate of Accreditation. This is a CLIA certificate is issued on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high complexity) testing..
This NPI record was last updated on January 18, 2013. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.