NORTH VALLEY ORTHOPEDIC SURGERY CENTER LLC NPI 1548203888

NPI Information

  • NPI: 1548203888
  • Provider Name: NORTH VALLEY ORTHOPEDIC SURGERY CENTER LLC
  • Classification: Clinic/Center - 261QA1903X
  • Specialization: Ambulatory Surgical
  • Entity Type: Organization
  • Doing Business As: THE ORTHOPEDIC SURGERY CENTER OF ARIZONA
  • CLIA Number: 03D1058236
  • Address: 2262 E. ROSE GARDEN LANE
    PHOENIX, AZ
    ZIP 85024
  • Phone: (602) 424-4408

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NPI Details

NORTH VALLEY ORTHOPEDIC SURGERY CENTER LLC is an ambulatory surgical clinic center in Phoenix, AZ. NORTH VALLEY ORTHOPEDIC SURGERY CENTER LLC NPI is 1548203888. The provider is registered as an organization entity type.
The provider Is Doing Business As The Orthopedic Surgery Center Of Arizona.

The provider's business location address is:

2262 E. ROSE GARDEN LANE
PHOENIX, AZ
ZIP 85024
Phone: (602) 424-4408
Fax: (602) 424-4409

The provider's authorized official is Eric Boon .
The authorized official title is Officer/authorized Official and has the following contact phone number (480) 567-0269.

The CLIA number assigned to this NPI record is 03D1058236 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Repair of shoulder rotator cuff using an endoscope (HCPCS:29827)
  • Partial removal of collar bone at shoulder using an endoscope (HCPCS:29824)
  • Removal of knee cartilage using an endoscope (HCPCS:29881)
  • Removal of both knee cartilages using an endoscope (HCPCS:29880)
  • Removal of extensive shoulder joint tissue using an endoscope (HCPCS:29823)
  • Anchoring of biceps tendon (HCPCS:23430)
  • Limited removal of abnormal shoulder joint tissue using endoscope (HCPCS:29822)
  • Release of tendon connecting biceps muscle and shoulder using an endoscope (HCPCS:29828)

The enumeration date for this NPI number is 6/14/2006 and was last updated on 9/17/2024.

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
1261QA1903XClinic/CenterAmbulatory SurgicalOSC 4036ARIZONAYes

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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