Active NPI
Arizona College of Orthopedic Surgeons, PLLC
- Orthopaedic Surgery Physician
- Avondale, AZ
National Provider Identifier
1225190820
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 3671
- Legal business name
- ARIZONA COLLEGE OF ORTHOPEDIC SURGEONS, PLLC
- Practice address
- 10815 W McDowell Rd
Suite 303
Avondale, AZ 85392-5007 - Phone
- (602) 424-0935
- Fax
- (602) 938-4241
- NPI assigned
- Dec 14, 2006
- 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
- Kit C McCalla, DO, MBA
- Title
- President
- Phone
- (602) 424-0935
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 3671 | AZ | Primary |
Addresses
Primary practice location
10815 W McDowell Rd
Suite 303
Avondale, AZ 85392-5007
Mailing address
PO Box 10610
Glendale, AZ 85318-0610
Phone (602) 424-0935
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 596009 | Medicaid | AZ |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Sports Medicine (Neuromusculoskeletal Medicine) Physician
- Sun City, AZ
- NPI 1164478731
-
- Physician Assistant
- Phoenix, AZ
- NPI 1114084316
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166054400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1263859200000",
"number": "1225190820",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 10610",
"city": "GLENDALE",
"state": "AZ",
"postal_code": "853180610",
"telephone_number": "602-424-0935",
"fax_number": "602-938-4241"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10815 W MCDOWELL RD",
"address_2": "SUITE 303",
"city": "AVONDALE",
"state": "AZ",
"postal_code": "853925007",
"telephone_number": "602-424-0935",
"fax_number": "602-938-4241"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ARIZONA COLLEGE OF ORTHOPEDIC SURGEONS, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-14",
"last_updated": "2010-01-19",
"status": "A",
"authorized_official_last_name": "MCCALLA",
"authorized_official_first_name": "KIT",
"authorized_official_middle_name": "C",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "602-424-0935",
"authorized_official_credential": "DO, MBA"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Orthopaedic Surgery",
"state": "AZ",
"license": "3671",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "596009",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Avondale, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.