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THE ORTHO JOINT OF ARIZONA LLC NPI 1962841742


NPI Information

NPI: 1962841742
Provider Name: THE ORTHO JOINT OF ARIZONA, LLC
Classification: Orthopaedic Surgery - 207XS0114X
Entity Type: Organization

Specialization: Adult Reconstructive Orthopaedic Surgery

Address:
12361 W BOLA DR
#100
SURPRISE, AZ
ZIP 85378
Phone: (623) 584-5626
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THE ORTHO JOINT OF ARIZONA, LLC is an adult reconstructive orthopaedic surgery orthopaedic surgery in Surprise, AZ. The provider is recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, adult reconstructive orthopaedic surgeons deal with reconstructive procedures such as joint arthroplasty (i.e., hip and knee), osteotomy, arthroscopy, soft-tissue reconstruction, and a variety of other adult reconstructive surgical procedures. THE ORTHO JOINT OF ARIZONA, LLC NPI is 1962841742. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

12361 W BOLA DR
#100
SURPRISE, AZ
ZIP 85378-021
Phone: (623) 584-5626

The provider's authorized official is Audrey Tsao .
The authorized official title is Provider and has the following contact phone number (623) 583-2073.

The enumeration date for this NPI number is 6/14/2013 and was last updated on 6/17/2013.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207XS0114XOrthopaedic SurgeryAdult Reconstructive Orthopaedic SurgeryYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1PENDINGMEDICAIDARIZONA
2PENDINGMEDICARE UPIN

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: 4/28/2024

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