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NORTHEAST ORTHOPAEDICS & SPORTS MEDICINE, LLP
NPI 1023356441
Specialist in San Antonio, TX

Active since January 18, 2013CLIA 45D1027127 · Waiver
18626 HARDY OAK BLVD, SUITE 300, SAN ANTONIO, TX 78258(210) 477-5151(210) 477-5152 Get Directions Write a Review

NPPES record last updated: January 18, 2013. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Northeast Orthopaedics & Sports Medicine, Llp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NORTHEAST ORTHOPAEDICS & SPORTS MEDICINE, LLP (NPI 1023356441) is a healthcare organization registered as a specialist in San Antonio, Texas and active in the NPI registry since January 2013. The organization holds a CLIA Waiver certificate valid through June 23, 2028 and lists David Lester Fox, Managing Partner, as its authorized official.

NPPES Registry Identity

NPI1023356441
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameNORTHEAST ORTHOPAEDICS & SPORTS MEDICINE, LLP
Location Address18626 HARDY OAK BLVD, SUITE 300San Antonio, TX 78258-4210
Mailing Address12709 Toepperwein Rd, Suite 101Live Oak, TX 78233-3258 · (210) 477-5151 · Fax (210) 477-5152
Phone(210) 477-5151
Fax(210) 477-5152
Organization SubpartNo
Authorized OfficialDavid Lester FoxManaging Partner · (210) 477-5151
Enumeration DateJanuary 18, 2013
✔ NPI 1023356441 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in TX · H5882
Definition

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.

18626 HARDY OAK BLVD, San Antonio, TX 78258
Open in Google Maps ↗

Other Identifiers 1

Medicare PINTXB129769TX

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 45D1027127

Northeast Orthopedics & Sports Medicine LLP · Live Oak, TX
Active · expires Jun 23, 2028
CLIA Number45D1027127
Laboratory TypePhysician Office
Certificate Effective DateJune 24, 2026
Certificate Expiration DateJune 23, 2028
Laboratory DirectorDavid Fox
Laboratory Phone(210) 477-5151
Laboratory LocationNortheast Orthopedics & Sports Medicine LLP6704 Randolph Blvd, Live Oak, TX 78233
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MAGED M. MINA, M.D. P.A.
Anesthesiology (Pain Medicine)
18626 HARDY OAK BLVD, SUITE 230
SAN ANTONIO, TX 78258
Bexar County (210) 402-6561
MAGED M MINA MD
Anesthesiology
18626 HARDY OAK BLVD, STE 230
SAN ANTONIO, TX 78258
Bexar County (210) 402-6561
DR. EMAN MINA MD
Family Medicine
18626 HARDY OAK BLVD, SUITE 230
SAN ANTONIO, TX 78258
Bexar County (210) 497-7700
MR. COLE DUSTIN ALLISON DPT
Physical Therapist
18626 HARDY OAK BLVD, SUITE 200
SAN ANTONIO, TX 78258
Bexar County (210) 293-2941
MEDSURG ALLIANCE, P.A.
Anesthesiology
18626 HARDY OAK BLVD, SUITE 215
SAN ANTONIO, TX 78258
Bexar County (210) 616-9400
JEFFREY R. WARMAN, M.D., P.A.
Orthopaedic Surgery
18626 HARDY OAK BLVD, STE 320
SAN ANTONIO, TX 78258
Bexar County (210) 497-4186
THOMAS JOSEPH BROWN M.D.
Psychiatry & Neurology (Neurology)
18626 HARDY OAK BLVD, SUITE 230
SAN ANTONIO, TX 78258
Bexar County (210) 646-9244
EMAN MINA, M.D., P.A.
Family Medicine
18626 HARDY OAK BLVD, SUITE 230
SAN ANTONIO, TX 78258
Bexar County (210) 497-7700

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Northeast Orthopaedics & Sports Medicine, LLP's NPI number?

The NPI number for Northeast Orthopaedics & Sports Medicine, LLP is 1023356441. It was assigned to this organization in the NPPES registry on January 18, 2013.

Where is Northeast Orthopaedics & Sports Medicine, LLP located?

Northeast Orthopaedics & Sports Medicine, LLP is located at 18626 Hardy Oak Blvd Suite 300, San Antonio, TX 78258. The listed phone number is (210) 477-5151.

What is Northeast Orthopaedics & Sports Medicine, LLP's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Does Northeast Orthopaedics & Sports Medicine, LLP hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D1027127) is associated with this NPI, valid through June 23, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Northeast Orthopaedics & Sports Medicine, LLP was last updated on January 18, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.