Active NPI
Osna Primary Care, LLC
- Family Medicine Physician
- Gilbert, AZ
National Provider Identifier
1063855088
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- OSNA PRIMARY CARE, LLC
- Practice address
- 2940 E Banner Gateway Dr
Ste 200
Gilbert, AZ 85234-2171 - Phone
- (480) 964-2908
- Fax
- (480) 833-2136
- NPI assigned
- Apr 9, 2013
- Last updated
- Feb 21, 2017
- Organization subpart
- Yes
- Parent organization
- OSNA PRIMARY CARE, LLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- John Kinna
- Title
- Chief Executive Officer
- Phone
- (602) 772-3800
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | NU | Primary | |
| Sports Medicine (Family Medicine) Physician | 207QS0010X | NU |
Addresses
Primary practice location
2940 E Banner Gateway Dr
Ste 200
Gilbert, AZ 85234-2171
Mailing address
PO Box 271429
Salt Lake City, UT 84127-1429
Phone (602) 772-3800
Other names 1
- Mezona Orthopaedic
National Provider Directory
National Provider Directory- Part of
- Osna Primary Care LLC
Locations
2355 E Camelback Rd
Ste 325
Phoenix, AZ 85016
Phone (602) 772-3795
Ownership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
-
- Family Medicine Physician
- Scottsdale, AZ
- NPI 1811233554
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1365465600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1487635200000",
"number": "1063855088",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 271429",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841271429",
"telephone_number": "602-772-3800",
"fax_number": "602-772-3801"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2940 E BANNER GATEWAY DR",
"address_2": "STE 200",
"city": "GILBERT",
"state": "AZ",
"postal_code": "852342171",
"telephone_number": "480-964-2908",
"fax_number": "480-833-2136"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OSNA PRIMARY CARE, LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "OSNA PRIMARY CARE, LLC",
"enumeration_date": "2013-04-09",
"last_updated": "2017-02-21",
"status": "A",
"authorized_official_last_name": "KINNA",
"authorized_official_first_name": "JOHN",
"authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
"authorized_official_telephone_number": "602-772-3800"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "207QS0010X",
"taxonomy_group": "",
"desc": "Family Medicine, Sports Medicine",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Mezona Orthopaedic",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Gilbert, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.