JOHN PETER SMITH HOSPITAL ORTHOPEDICS
NPI 1093088684
General Acute Care Hospital in Fort Worth, TX

NPI Status: Active since February 14, 2012

Contact Information

1500 S MAIN ST
FORT WORTH, TX
ZIP 76104
Phone: (817) 927-1321

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  • Organization
  • General Acute Care Hospital
  • CLIA Number: 45D0486110
  • CLIA Cert. Type: Hospital
  • CLIA Exp. Date: 02-08-2027

About JOHN PETER SMITH HOSPITAL ORTHOPEDICS

This page provides the complete NPI Profile along with additional information for John Peter Smith Hospital Orthopedics, a provider established in Fort Worth, Texas operating as a General Acute Care Hospital. The healthcare provider is registered in the NPI registry with number 1093088684 assigned on February 2012. The practitioner's primary taxonomy code is 282N00000X with license number P1268 (TX). The provider is registered as an organization and their NPI record was last updated 14 years ago. The authorized official of this NPI record is Russell Wagner (Program Director)

NPI
1093088684
Provider Name
JOHN PETER SMITH HOSPITAL ORTHOPEDICS
Entity Type
Organization
Location Address
1500 S MAIN ST FORT WORTH, TX 76104
Location Phone
(817) 927-1321
Mailing Address
1500 S MAIN ST FORT WORTH, TX 76104
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
02-14-2012
Last Update Date
02-14-2012
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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

General Acute Care Hospital

Taxonomy Code
282N00000X
Type
Hospitals
License No.
P1268
License State
TX
Taxonomy Description
An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

RUSSELL WAGNER

Authorized Official Title
PROGRAM DIRECTOR
Authorized Official Phone
(817) 927-1370

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
45D0486110
Facility Type
Hospital
Certificate Effective Date
February 09, 2025
Certificate Expiration Date
February 08, 2027
Laboratory Director
DR. TOBY J. GRAY
Certificate Type
Certificate of Accreditation
Certificate Type Description
This is a CLIA certificate is issued to John Peter Smith Hospital Orthopedics 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 NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1093088684, we treat the final digit (4) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 66. The final step is to find the difference between that total and the next multiple of ten (70 - 66 = 4).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
0
Unchanged
Pos 3
9
Doubled → 18 → 1 + 8
Pos 4
3
Unchanged
Pos 5
0
Doubled → 0
Pos 6
8
Unchanged
Pos 7
8
Doubled → 16 → 1 + 6
Pos 8
6
Unchanged
Pos 9
8
Doubled → 16 → 1 + 6
Check
4
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 9 → 18 → 9 0 → 0 8 → 16 → 7 8 → 16 → 7

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 0 + 1 + 8 + 3 + 0 + 8 + 1 + 6 + 6 + 1 + 6 + 24 = 66

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 66 is 70. The difference is the calculated check digit.

70 - 66 = 4
This NPI is valid
The calculated check digit is 4, which matches the last digit of 1093088684.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Anesthesiology
1500 S MAIN ST, JPS HOSIPITAL, DEPARTMENT OF ANESTHESIOLOGY
FORT WORTH, TX 76104
General Acute Care Hospital
1500 S MAIN ST, PHYSICIAN SERVICES
FORT WORTH, TX 76104
Family Medicine
1500 S MAIN ST, FORT WORTH
FORT WORTH, TX 76104
Family Medicine
1500 S MAIN ST, FAMILY HEALTH CENTER
FORT WORTH, TX 76104
Family Medicine
1500 S MAIN ST, FAMILY MEDICINE CENTER
FORT WORTH, TX 76104
Family Medicine
1500 S MAIN ST
FORT WORTH, TX 76104
Family Medicine
1500 S MAIN ST, DEPT. OF FAMILY MEDICINE
FORT WORTH, TX 76104
Family Medicine
1500 S MAIN ST
FORT WORTH, TX 76104
Radiology (Diagnostic Radiology)
1500 S MAIN ST
FORT WORTH, TX 76104
Emergency Medicine
1500 S MAIN ST
FORT WORTH, TX 76104
Nurse Practitioner (Family)
1500 S MAIN ST
FORT WORTH, TX 76104
Nurse Practitioner
1500 S MAIN ST
FORT WORTH, TX 76104
Radiology (Diagnostic Radiology)
1500 S MAIN ST
FORT WORTH, TX 76104
Pediatrics
1500 S MAIN ST
FORT WORTH, TX 76104
Nurse Practitioner
1500 S MAIN ST
FORT WORTH, TX 76104
Pediatrics
1500 S MAIN ST
FORT WORTH, TX 76104
Dermatology
1500 S MAIN ST
FORT WORTH, TX 76104
Internal Medicine (Gastroenterology)
1500 S MAIN ST
FORT WORTH, TX 76104
Family Medicine
1500 S MAIN ST
FORT WORTH, TX 76104
Nurse Practitioner (Neonatal)
1500 S MAIN ST
FORT WORTH, TX 76104

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1093088684, enumerated as an "organization" on February 14, 2012.

The provider is located at 1500 S MAIN ST FORT WORTH, TX 76104 and the phone number is (817) 927-1321.

General Acute Care Hospital with taxonomy code 282N00000X.