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GREATER PHOENIX ORTHOPEDICS NPI 1629439005


NPI Information

NPI: 1629439005
Provider Name: GREATER PHOENIX ORTHOPEDICS
Classification: Orthopaedic Surgery - 207XS0114X
Entity Type: Organization

Specialization: Adult Reconstructive Orthopaedic Surgery

CLIA Number: 03D0962320

Address:
20401 N 73RD ST
SUITE 155
SCOTTSDALE, AZ
ZIP 85255
Phone: (800) 483-0726
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GREATER PHOENIX ORTHOPEDICS is an adult reconstructive orthopaedic surgery orthopaedic surgery in Scottsdale, 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. GREATER PHOENIX ORTHOPEDICS NPI is 1629439005. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

20401 N 73RD ST
SUITE 155
SCOTTSDALE, AZ
ZIP 85255-107
Phone: (800) 483-0726
Fax: (800) 483-0729

The provider's authorized official is Regina Marie Gilleland .
The authorized official title is Manager and has the following contact phone number (623) 208-7979.

The CLIA number assigned to this NPI record is 03D0962320 - community clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/14/2016 and was last updated on 12/27/2022.


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
1207XS0114XOrthopaedic SurgeryAdult Reconstructive Orthopaedic Surgery34339ARIZONAYes

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: 5/5/2024

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