OTTAWA UNIVERSITY NPI 1346751351

NPI Information

  • NPI: 1346751351
  • Provider Name: OTTAWA UNIVERSITY
  • Classification: General Practice - 208D00000X
  • Entity Type: Organization
  • Doing Business As: OTTAWA SPORTS MEDICINE
  • Address: 15950 N. CIV CENTER PLAZA
    SURPRIZE, AZ
    ZIP 85374
  • Phone: (972) 367-4845

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NPI Details

OTTAWA UNIVERSITY is a general practice in Surprize, AZ. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee OTTAWA UNIVERSITY NPI is 1346751351. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Ottawa Sports Medicine.

The provider's business location address is:

15950 N. CIV CENTER PLAZA
SURPRIZE, AZ
ZIP 85374
Phone: (972) 367-4845

The provider's authorized official is Mouzon Bass .
The authorized official title is Agent and has the following contact phone number (972) 367-4845.

The enumeration date for this NPI number is 10/17/2017 and was last updated on 10/17/2017.

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
1208D00000XGeneral Practice31375ARIZONAYes

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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