EAST TEXAS ORTHOPAEDIC CLINIC – NPI #1295091486
Orthopaedic Surgery

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.

EAST TEXAS ORTHOPAEDIC CLINIC is an orthopaedic surgeon located in LONGVIEW, TX. NPPES has assigned the NPI number 1295091486 to EAST TEXAS ORTHOPAEDIC CLINIC on April 02, 2012. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “EAST TEXAS ORTHOPAEDIC CLINIC” is a dba name, the actual legal business name for this organization is CHARLES R WILLIAMS MD PA. The primary taxonomy selected by this provider is 207XX0005X from the Health Care Provider Taxonomy code set, which is classified as Orthopaedic Surgery, specializing in Sports Medicine

The NPI profile was previously updated about 14 years ago on May 01, 2012. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for EAST TEXAS ORTHOPAEDIC CLINIC below.

NPI Profile for
CHARLES R WILLIAMS MD PA

NPI Number
1295091486
Enumeration Date

(more than 14 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
CHARLES R WILLIAMS MD PA
Doing Business As (dba): EAST TEXAS ORTHOPAEDIC CLINIC
Primary location
804 MEDICAL CIRCLE
SUITE H
LONGVIEW, TX 75605
Phone: (903) 236-3385 Fax: (903) 236-4766
Mailing address
804 MEDICAL CIRCLE DR. SUITE H
LONGVIEW, TX 75605
Phone: (903) 236-3385 Fax:
Organization Subpart
No
Authorized Official
KAREN WILLIAMS
BUSINESS MANAGER
Phone: (903) 236-3385
Updated
Identifiers

Identifiers for EAST TEXAS ORTHOPAEDIC CLINIC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDTX089595501
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207XX0005X
- Orthopaedic Surgery / Sports Medicine (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.