Active NPI
Lino Ossanna, M.D.
- Obstetrics & Gynecology Physician
- Queen Creek, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 33661
- Practice address
- 21321 E Ocotillo Rd
Suite 127
Queen Creek, AZ 85242-5996 - Phone
- (480) 888-7271
- NPI assigned
- Jul 8, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 33661 | AZ | Primary |
Addresses
Primary practice location
21321 E Ocotillo Rd
Suite 127
Queen Creek, AZ 85242-5996
Mailing address
280 W Sparrow Dr
Chandler, AZ 85248-2758
Phone (480) 963-7900
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 922428 | Medicaid | AZ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ, OR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 234275 | NY | MD | Licensed Practical Nurse |
| 33661 | AZ | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mid-Valley Healthcare Inc | Current | Accepting new patients | |
| San Luis Walk-in Clinic, Inc. | Current | Accepting new patients | |
| San Luis Walk-in Clinic, Inc. | Current | Accepting new patients | |
| Mid-Valley Healthcare, Inc. | Current | Accepting new patients | |
| Mid-Valley Healthcare Inc | Current | Accepting new patients | |
| Sierra Vista Regional Health Center Medical Group LLC | Obstetrics & Gynecology | Current | Accepting new patients |
| San Luis Walk-in Clinic, Inc. | Current | Accepting new patients | |
| Banner Ironwood Medical Center | Past | Accepting new patients | |
| San Luis Walk-in Clinic, Inc. | Past | Accepting new patients | |
| Women's Health Now PLLC | Past | Accepting new patients | |
| Harry C Watters DO MPH PC | Obstetrics & Gynecology | Past | Accepting new patients |
Locations
5750 E Highway 90
Sierra Vista, AZ 85635
Phone (520) 263-2000
5750 E Highway 90
Ste 300B
Sierra Vista, AZ 85635
Phone (520) 263-3620
300 El Camino Real
Sierra Vista, AZ 85635
Phone (520) 417-4594
214 W Main St
Somerton, AZ 85350
Phone (928) 627-1120
325 Park St
Lebanon, OR 97355
Phone (541) 451-7200
675 N 5th St
Lebanon, OR 97355
Phone (541) 451-6282
Networks
- NM HMO C-SNP
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/JIAIAD/Endpoint/JIAIAD
- https://fhir4.healow.com/fhir/r4/CEJIBD/Endpoint/CEJIBD
- https://api.platform.athenahealth.com/11823/brand/2/csg/41/fhir/r4
Organizations & group practices 11
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Rural Health Clinic/Center
- San Luis, AZ
- NPI 1104228337
-
- Family Medicine Physician
- Sierra Vista, AZ
- NPI 1043575483
Obstetrics & Gynecology
-
dba Samaritan Lebanon Community Hospital
- Critical Access Hospital
- Lebanon, OR
- NPI 1689625980
-
- Clinic/Center
- Queen Creek, AZ
- NPI 1740306786
-
dba Children Integrated Care Services
- Rural Health Clinic/Center
- Somerton, AZ
- NPI 1063274868
-
- Rural Health Clinic/Center
- Somerton, AZ
- NPI 1972891349
-
dba Samaritan Outpatient Treatment & Recovery Services - Newport
- Addiction Medicine (Internal Medicine) Physician
- Newport, OR
- NPI 1740087899
-
dba Samaritan Health Clinic - Sweet Home
- Rural Health Clinic/Center
- Sweet Home, OR
- NPI 1528334125
-
- General Acute Care Hospital
- Queen Creek, AZ
- NPI 1124341672
-
dba Today's Women's Health Specialists
- Obstetrics & Gynecology Physician
- Chandler, AZ
- NPI 1881609766
-
- Rural Health Clinic/Center
- Somerton, AZ
- NPI 1003991506
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152316800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1192060800000",
"number": "1003849514",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "280 W SPARROW DR",
"city": "CHANDLER",
"state": "AZ",
"postal_code": "852482758",
"telephone_number": "480-963-7900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21321 E OCOTILLO RD",
"address_2": "SUITE 127",
"city": "QUEEN CREEK",
"state": "AZ",
"postal_code": "852425996",
"telephone_number": "480-888-7271"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OSSANNA",
"first_name": "LINO",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-08",
"last_updated": "2007-10-11",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "AZ",
"license": "33661",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "922428",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Queen Creek, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.