Organization Active NPI

Orthopedic Specialists of North America, PLLC

  • Orthopaedic Surgery Physician
  • Glendale, AZ
National Provider Identifier
1194164335
Registry record updated Apr 14, 2015
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
18700 N 64TH Dr
Ste 105
Glendale, AZ 85308-7110
Phone
(800) 483-0726
Fax
(800) 483-0729
NPI assigned
Jun 20, 2013
Last updated
Apr 14, 2015By the provider in NPPES
Organization subpart
Yes
Parent organization
ORTHOPEDIC SPECIALISTS OF NORTH AMERICA, PLLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 14, 2015

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

Authorized official

Name
Jolie Sharp
Title
Cfao
Phone
(602) 772-3800

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X NU Primary
Orthopaedic Hand Surgery Physician 207XS0106X NU
Physical Medicine & Rehabilitation Physician 208100000X NU
Magnetic Resonance Imaging (MRI) Clinic/Center 261QM1200X 50782 AZ

Addresses

Primary practice location

18700 N 64TH Dr
Ste 105
Glendale, AZ 85308-7110

Mailing address

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

Other identifiers 1

IdentifierTypeStateIssuer
DQ4501OtherAZRAILROAD MEDICARE PTAN

Other names 1

  • OSNA - Greater Phoenix Orthopedics 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
Part of
Orthopedic Specialists of North America PLLC

NPI Registry JSON

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

{
    "created_epoch": "1371686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1428969600000",
    "number": "1194164335",
    "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": "18700 N 64TH DR",
            "address_2": "STE 105",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853087110",
            "telephone_number": "800-483-0726",
            "fax_number": "800-483-0729"
        }
    ],
    "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": "2013-06-20",
        "last_updated": "2015-04-14",
        "status": "A",
        "authorized_official_last_name": "SHARP",
        "authorized_official_first_name": "JOLIE",
        "authorized_official_title_or_position": "CFAO",
        "authorized_official_telephone_number": "602-772-3800"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207XS0106X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Hand Surgery",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Magnetic Resonance Imaging (MRI)",
            "state": "AZ",
            "license": "50782",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE PTAN",
            "identifier": "DQ4501",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "OSNA - Greater Phoenix Orthopedics",
            "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 Apr 14, 2015; 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.