Organization Active NPI

Arizona College of Orthopedic Surgeons, PLLC

  • Orthopaedic Surgery Physician
  • Avondale, AZ
National Provider Identifier
1225190820
Registry record updated Jan 19, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
3671 Issued in AZ
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

Updated by the provider on Jan 19, 2010

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)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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

IdentifierTypeStateIssuer
596009MedicaidAZ

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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

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.

Verify at the official NPI Registry.