East Texas Orthopaedic Clinic – Sports Medicine (Orthopaedic Surgery) Physician, NPI 1295091486

East Texas Orthopaedic Clinic is a healthcare provider. based in Longview, Texas. specializing in Sports Medicine (Orthopaedic Surgery) Physician. The NPI Number for East Texas Orthopaedic Clinic is 1295091486

Main info

Organization
Name
East Texas Orthopaedic Clinic
NPI
1295091486
Phone
(903) 236-3385
Address
804 MEDICAL CIRCLE
Authorized Official
MS. KAREN R WILLIAMS BUSINESS MANAGER
Enumeration Date
2 April 2012
Last Update Date
1 May 2012
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience33
Completeness80
Years active:14State licenses:0Digital endpointsUpdated within 12 months

Provider Addresses for East Texas Orthopaedic Clinic

  • 804 MEDICAL CIRCLE

    SUITE H

    LONGVIEW, TX 75605

    Phone: (903) 236-3385

    Fax: (903) 236-4766

    Type: Location

  • 804 MEDICAL CIRCLE DR. SUITE H

    LONGVIEW, TX 75605

    Phone: (903) 236-3385

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 75605)

Loading plans...

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

What unique ID ties claims to East Texas Orthopaedic Clinic?
NPI 1295091486 is assigned to East Texas Orthopaedic Clinic under the national enumeration system.
Is East Texas Orthopaedic Clinic currently active in the NPI registry?
CMS-published data lists East Texas Orthopaedic Clinic as an active registrant.
What field does East Texas Orthopaedic Clinic work in?
You can think of East Texas Orthopaedic Clinic as practicing within Sports Medicine (Orthopaedic Surgery) Physician. Clinical services aligned with this taxonomy classification.
What location metadata exists for East Texas Orthopaedic Clinic?
The page summarizes Longview, Texas for East Texas Orthopaedic Clinic; expand the address list for detail.
What if Longview, Texas seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

Similar Providers

DR. CHARLES R WILLIAMS (MD)

Sports Medicine (Orthopaedic Surgery) Physician
Longview Post Office, Hillside Road, Longview Shops, Page Moss, Huyton, Liverpool, Liverpool City Region, England, L36 8BJ, United Kingdom
NPI: 1255318200

DR. EDWARD C LIU

Sports Medicine (Orthopaedic Surgery) Physician
Band Box Place, Dallas, Dallas County, Texas, 75244, United States
NPI: 1437126034

DR. JACK D ELDER (MD)

Sports Medicine (Orthopaedic Surgery) Physician
Band Box Place, Dallas, Dallas County, Texas, 75244, United States
NPI: 1184691792

DR. JONATHAN W FONTENOT (MD)

Orthopaedic Surgery of the Spine Physician
1806 E End Blvd N
NPI: 1275500811

DR. MARC FRANCIS MATARAZZO (MD)

Sports Medicine (Orthopaedic Surgery) Physician
705 E MARSHALL AVE STE 5000
NPI: 1083678452

JUSTIN HULL BARTLEY (M.D.)

Sports Medicine (Orthopaedic Surgery) Physician
8101 S Broadway Ave
NPI: 1821381997

JOSHUA A RUSSELL (MD)

Sports Medicine (Orthopaedic Surgery) Physician
323 E Hawkins Pkwy Ste A
NPI: 1407297039

TREVOR JORDAN WAIT (M.D.)

Student in an Organized Health Care Education/Training Program
PO BOX 846098
NPI: 1366977860