Organization Active NPI

Orthopedic Surgery Affiliates, LTD.

  • Orthopaedic Surgery Physician
  • Phoenix, AZ
National Provider Identifier
1053594960
Registry record updated Mar 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
7468 Issued in AZ
Legal business name
ORTHOPEDIC SURGERY AFFILIATES, LTD.
Practice address
1415 N 7TH Ave
Phoenix, AZ 85007-1934
Phone
(602) 252-6101
NPI assigned
Dec 13, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Robert Richard Maxwell, M.D.
Title
Officer
Phone
(602) 252-6101

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207X00000X 7468 AZ Primary

Addresses

Primary practice location

1415 N 7TH Ave
Phoenix, AZ 85007-1934

Mailing address

1415 N 7TH Ave
Phoenix, AZ 85007-1934

National Provider Directory

National Provider Directory

Locations

1415 N 7th Ave
Phoenix, AZ 85007
Phone (602) 252-6101

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1197504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1300752000000",
    "number": "1053594960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1415 N 7TH AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850071934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1415 N 7TH AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850071934",
            "telephone_number": "602-252-6101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORTHOPEDIC SURGERY AFFILIATES, LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-13",
        "last_updated": "2011-03-22",
        "status": "A",
        "authorized_official_last_name": "MAXWELL",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "RICHARD",
        "authorized_official_title_or_position": "OFFICER",
        "authorized_official_telephone_number": "602-252-6101",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "AZ",
            "license": "7468",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.