SOUTHWEST SPORTS MEDICINE AND ORTHOPAEDICS
NPI 1740349661
Orthopaedic Surgery - Sports Medicine in Waco, TX
NPI Status: Active since December 06, 2006
Contact Information
7030 NEW SANGER RD
SUITE 200
WACO, TX
ZIP 76712
Phone: (254) 774-1140
Fax: (254) 741-1428
- Organization
- Orthopaedic Surgery
- Sports Medicine
- CLIA Number: 45D2049854
- CLIA Cert. Type: School/Student Health Service
- CLIA Exp. Date: 11-14-2026
About SOUTHWEST SPORTS MEDICINE AND ORTHOPAEDICS
This page provides the complete NPI Profile along with additional information for Southwest Sports Medicine And Orthopaedics, a provider established in Waco, Texas operating as a Orthopaedic Surgery, focusing in sports medicine . The healthcare provider is registered in the NPI registry with number 1740349661 assigned on December 2006. The practitioner's primary taxonomy code is 207XX0005X with license number J9580 (TX). The provider is registered as an organization and their NPI record was last updated 18 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The provider's is doing business as Southwest Sports Medicine And Orthopaedics. The authorized official of this NPI record is Mr. Matt Rohrer (Business Manager)
- NPI
- 1740349661
- Provider Legal Name
- JON M. ELLIS, MD PA
- Other Organization Name
- SOUTHWEST SPORTS MEDICINE AND ORTHOPAEDICS
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 7030 NEW SANGER RD SUITE 200 WACO, TX 76712
- Location Phone
- (254) 774-1140
- Location Fax
- (254) 741-1428
- Mailing Address
- 7030 NEW SANGER RD SUITE 200 WACO, TX 76712
- Mailing Phone
- (254) 774-1140
- Mailing Fax
- (254) 741-1428
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 12-06-2006
- Last Update Date
- 03-28-2008
- Code Navigator
Location Map
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
Orthopaedic Surgery Sports Medicine
- Taxonomy Code
- 207XX0005X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- J9580
- License State
- TX
- Taxonomy Description
- 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.
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 00447U | MEDICARE PIN (08) | TX | |
| DB8538 | MEDICARE PIN (08) | TX |
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
- 45D2049854
- Facility Type
- School/Student Health Service
- Certificate Effective Date
- November 15, 2024
- Certificate Expiration Date
- November 14, 2026
- Laboratory Director
- CHRISTOPHER MIARS
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Southwest Sports Medicine And Orthopaedics to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
Reviews for SOUTHWEST SPORTS MEDICINE AND ORTHOPAEDICS
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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 1740349661, we treat the final digit (1) 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 69. The final step is to find the difference between that total and the next multiple of ten (70 - 69 = 1).
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.
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.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 69 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 3 providers are registered at the same or a nearby location.
WACO, TX 76712
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1740349661, enumerated as an "organization" on December 06, 2006.
The provider is located at 7030 NEW SANGER RD SUITE 200 WACO, TX 76712 and the phone number is (254) 774-1140.
Orthopaedic Surgery with taxonomy code 207XX0005X and a focus in Sports Medicine.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
