KEITH FISHBECK DO NPI 1982145579

NPI Information

  • NPI: 1982145579
  • Provider Name: KEITH FISHBECK, DO
  • Classification: Orthopaedic Surgery - 207XX0005X
  • Specialization: Sports Medicine
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 3816 N UNIVERSITY DR
    NACOGDOCHES, TX
    ZIP 75965
  • Phone: (903) 939-7500

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NPI Details

Keith Fishbeck, DO is a sports medicine orthopaedic surgery in Nacogdoches, TX with 9 years of experience. The provider is 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. Keith Fishbeck, DO NPI is 1982145579. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF NORTH TEXAS HSC, COLLEGE OF OSTEOPATHIC MED
Graduation Year:2017

The provider's business location address is:

3816 N UNIVERSITY DR
NACOGDOCHES, TX
ZIP 75965-011
Phone: (903) 939-7500

The NPI 1982145579 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 3/15/2017 and was last updated on 5/2/2025.

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
1207X00000XOrthopaedic SurgeryU2839TEXASNo
2207XX0005XOrthopaedic SurgerySports MedicineU2839TEXASYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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