Active NPI
Valley Orthopaedic Group, LTD.
- Orthopaedic Surgery Physician
- Phoenix, AZ
National Provider Identifier
1114113636
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- Legal business name
- VALLEY ORTHOPAEDIC GROUP, LTD.
- Practice address
- 1300 N 12TH St
Suite 500
Phoenix, AZ 85006-2848 - Phone
- (602) 258-8029
- Fax
- (602) 252-9081
- NPI assigned
- Sep 18, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Glen R Bair, M.D.
- Title
- President
- Phone
- (602) 258-8029
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | AZ | Primary |
Addresses
Primary practice location
1300 N 12TH St
Suite 500
Phoenix, AZ 85006-2848
Mailing address
1300 N 12TH St
Suite 500
Phoenix, AZ 85006-2848
Phone (602) 258-8029
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ZWCLBX | Other | AZ | MEDICARE GROUP NUMBER |
| 204488 | Medicaid | AZ |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1190073600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1190073600000",
"number": "1114113636",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1300 N 12TH ST",
"address_2": "SUITE 500",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850062848",
"telephone_number": "602-258-8029",
"fax_number": "602-252-9081"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1300 N 12TH ST",
"address_2": "SUITE 500",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850062848",
"telephone_number": "602-258-8029",
"fax_number": "602-252-9081"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VALLEY ORTHOPAEDIC GROUP, LTD.",
"organizational_subpart": "NO",
"enumeration_date": "2007-09-18",
"last_updated": "2007-09-18",
"status": "A",
"authorized_official_last_name": "BAIR",
"authorized_official_first_name": "GLEN",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "602-258-8029",
"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": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE GROUP NUMBER",
"identifier": "ZWCLBX",
"state": "AZ"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "204488",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Phoenix, AZ
- Valley Neurodiagnostics LLC
- Valley of the Sun Assisted Living Home- East LLC (Valley of the Sun Assisted Living Facility)
- Valley of the Sun Assisted Living Homes LLC (Valley of the Sun Assisted Living Facility 3)
- Valley of the Sun Hospice, LLC (Summit Hospice)
- Valley of the Sun Young Men's Christian Association
- Valley Oximetry Incorporated (Valley Sleep Center)
- Valley Pain Centers of Arizona, LLC
- Valley Pain Centers, LLC
- Valley Pain Treatment Center
- Valley Performance Physical Therapy, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.