OrganizationActive
Medical Center Orthopaedics PA
NPI 1417066655 · Orthopaedic Surgery Physician · San Antonio, TX
Provider details
- NPI number
- 1417066655
- Entity type
- Organization
- Primary specialty
- Orthopaedic Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Fred Olin, President(210) 698-0607
- License
- E1094 (TX)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
9512 Majestic Oak Cir
San Antonio, TX 78255-3449
Phone: (210) 698-0607
Fax: (210) 614-7745
Street-level locationGet directions
Mailing address
9512 Majestic Oak Cir
San Antonio, TX 78255-3449
Registry dates
- Enumerated
- 2006-08-30
- Last updated
- 2007-11-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.