Organization Active NPI

Arizona Orthopaedic Group PLLC

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Phoenix, AZ
National Provider Identifier
1225408453
Registry record updated Sep 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Orthopaedic Surgery) PhysicianTaxonomy code 207XX0005X
License
11334 Issued in AZ
Legal business name
ARIZONA ORTHOPAEDIC GROUP PLLC
Practice address
2222 E Highland Ave
Suite 203
Phoenix, AZ 85016-4872
Phone
(602) 277-1558
Fax
(602) 266-6691
NPI assigned
Sep 30, 2015
Last updated
Sep 30, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2015

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

Authorized official

Name
Russell Paul Chick, M.D.
Title
Authorized Official/Owner
Phone
(602) 277-1558

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Orthopaedic Surgery) Physician 207XX0005X 11334 AZ Primary

Addresses

Primary practice location

2222 E Highland Ave
Suite 203
Phoenix, AZ 85016-4872

Mailing address

2222 E Highland Ave
Suite 203
Phoenix, AZ 85016-4872
Phone (602) 277-1558

National Provider Directory

National Provider Directory

Locations

2222 E Highland Ave
Ste 20
Phoenix, AZ 85016
Phone (602) 277-1558

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1443571200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1443571200000",
    "number": "1225408453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2222 E HIGHLAND AVE",
            "address_2": "SUITE 203",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850164872",
            "telephone_number": "602-277-1558",
            "fax_number": "602-266-6691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2222 E HIGHLAND AVE",
            "address_2": "SUITE 203",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850164872",
            "telephone_number": "602-277-1558",
            "fax_number": "602-266-6691"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARIZONA ORTHOPAEDIC GROUP PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-30",
        "last_updated": "2015-09-30",
        "status": "A",
        "authorized_official_last_name": "CHICK",
        "authorized_official_first_name": "RUSSELL",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL/OWNER",
        "authorized_official_telephone_number": "602-277-1558",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "AZ",
            "license": "11334",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2015; 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.