NPI Details
DR. Derek K. (kent) Lichota, MD is an orthopaedic surgery in Temple, TX with 39 years of experience. The provider is an orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. DR. Derek K. (kent) Lichota, MD NPI is 1144280702. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
Education
Medical School: TEXAS A & M UNIVERSITY SYSTEM, HSC, COLLEGE OF MEDICINE
Graduation Year:1987
The provider's business location address is:
2401 S 31ST ST
TEMPLE, TX
ZIP 76508-001
Phone: (254) 724-2111
The NPI 1144280702 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The enumeration date for this NPI number is 3/27/2006 and was last updated on 11/8/2013.
Taxonomy Codes
The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:
| No. |
Taxonomy Code |
Taxonomy Clasification |
Taxonomy Specialization |
License Number |
License State |
Primary |
| 1 | 207X00000X | Orthopaedic Surgery | | H4491 | TEXAS | Yes |
Other Identifiers
The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.
| No. |
Other Provider Identifier |
Other Provider Identifier Type |
Other Provider Identifier State |
Other Provider Identifier Issuer |
| 1 | 1278087-03 | OTHER | TEXAS | CSHCN |
| 2 | 86J300 | MEDICARE ID-TYPE UNSPECIFIED | TEXAS | |
| 3 | 1278087-04 | MEDICAID | TEXAS | |
| 4 | E02203 | MEDICARE UPIN | TEXAS | |
| 5 | 200039616 | OTHER | TEXAS | RR/MEDICARE |
| 6 | 86J300 | OTHER | TEXAS | BLUE SHIELD |
