Waco Orthopedic Clinic in Waco - Orthopaedic Surgery
Waco Orthopedic Clinic - NPI 1417020959
Waco Orthopedic Clinic is a Orthopaedic Surgery in Waco, Texas. Waco Orthopedic Clinic practices all healthcare services and medical treatments related to Orthopaedic Surgery. The NPI Number for Waco Orthopedic Clinic is 1417020959. The last update date is 2008-04-08.
Waco Orthopedic Clinic's current location address is 6600 Fish Pond Rd, Waco, Texas. You can contact this provider via phone number 2547529638 and fax number 2547522201. The mailing address for Waco Orthopedic Clinic is 6600 Fish Pond Rd, Waco, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Waco Orthopedic Clinic |
|---|---|
| Address | 6600 Fish Pond Rd, Waco, Texas |
| Phone Number | 2547529638 |
| Fax Number | 2547522201 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PHYSICIAN |
|---|---|
| Authorized Official Name | Goodnight Marc Jon |
| Credentials | M.D. |
| Telephone Number | 2547529638 |
NPI Number Detail
| NPI Number | 1417020959 |
|---|---|
| Provider Enumeration Date | 2006-11-15 |
| Last Updated Date | 2008-04-08 |
Provider Mailing Address Detail
| Address | 6600 Fish Pond Rd |
|---|---|
| City | Waco |
| State | Texas (TX) |
| Post Code | 767102581 |
| Phone Number | 2547529638 |
| Fax Number | 2547522201 |
Provider's Primary Taxonomy Detail
| Speciality | Orthopaedic Surgery |
|---|---|
| Taxonomy | 207X00000X |
|
Definition: 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 car |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 83305501 | TX | -- |
Post Comment/ Review Below
What is the Waco Orthopedic Clinic's unique identification number?
The Waco Orthopedic Clinic has been assigned the NPI (National Provider Identifier) Number 1417020959 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please share the complete physical address where Waco Orthopedic Clinic is geographically located?
The Waco Orthopedic Clinic is physically situated at the following location: 6600 Fish Pond Rd, Waco, TX, 767102581.
What is Waco Orthopedic Clinic's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Waco Orthopedic Clinic is Orthopaedic Surgery, and the taxonomy code that categorizes this field of expertise is 207X00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1417020959 to Waco Orthopedic Clinic?
The Centers for Medicare & Medicaid Services originally issued the 1417020959 to Waco Orthopedic Clinic on 2006-11-15.
When was the information regarding Waco Orthopedic Clinic, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Waco Orthopedic Clinic, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2008-04-08.