NPIMap

Organization Active NPI

Orthopedic Specialists of North America, PLLC

  • Orthopaedic Surgery Physician
  • Glendale, AZ
National Provider Identifier
1104178797
Registry record updated Nov 4, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
Legal business name
ORTHOPEDIC SPECIALISTS OF NORTH AMERICA, PLLC
Practice address
4344 W Bell Rd
Ste 102
Glendale, AZ 85308-3589
Phone
(602) 588-4040
Fax
(602) 588-4034
NPI assigned
Oct 8, 2012
Organization subpart
Yes
Parent organization
ORTHOPEDIC SPECIALISTS OF NORTH AMERICA, PLLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 4, 2014

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

Authorized official

Name
Heather Brown
Title
Payor Relations Manager
Phone
(602) 772-3800

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207X00000X Primary
Orthopaedic Hand Surgery PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207XS0106X
Physical Medicine & Rehabilitation PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 208100000X

Addresses

Primary practice location

4344 W Bell Rd
Ste 102
Glendale, AZ 85308-3589

Mailing address

PO Box 29870
Phoenix, AZ 85038-9870
Phone (602) 772-3800

Other identifiers 1

IdentifierTypeStateIssuer
DQ4501OtherAZRAILROAD MEDICARE PTAN

Other names 1

  • OSNA - MVP Division Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100428000061 AZ Part B Supplier - Clinic/Group Practice 7719014505 Receives reassigned benefits from 409 practitioners
This NPI is an additional NPI on the enrollment

National Provider Directory

National Provider Directory
Tax ID family
Osna PLLC48 organizations share this tax ID, including this one
Part of
Osna PLLC

Other organizations with this tax ID 47

Organizations that report the same tax identification number in the National Provider Directory.

View all 47

Locations

20325 N 51st Ave
Ste 150
Glendale, AZ 85308
Phone (602) 795-6300

Practitioners & affiliated clinicians

Practitioners 14

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1349654400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1415059200000",
    "number": "1104178797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 29870",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850389870",
            "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": "4344 W BELL RD",
            "address_2": "STE 102",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853083589",
            "telephone_number": "602-588-4040",
            "fax_number": "602-588-4034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORTHOPEDIC SPECIALISTS OF NORTH AMERICA, PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ORTHOPEDIC SPECIALISTS OF NORTH AMERICA, PLLC",
        "enumeration_date": "2012-10-08",
        "last_updated": "2014-11-04",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_title_or_position": "PAYOR RELATIONS MANAGER",
        "authorized_official_telephone_number": "602-772-3800"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207XS0106X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery, Hand Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE PTAN",
            "identifier": "DQ4501",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "OSNA - MVP Division",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Glendale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.