Arizona Institute for Sports Knees and Shoulders, LLC

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

Legal business name

ARIZONA INSTITUTE FOR SPORTS KNEES AND SHOULDERS, LLC

Practice address

20401 N 73Rd St
160
Scottsdale, AZ 85255-4107

Phone

(480) 264-6995

Fax

(844) 574-8166

NPI assigned

Oct 12, 2015

Last updated

Apr 29, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

David S Bailie, MDNPI 1487631099

Title

Owner

Phone

(480) 264-6995

Specialties & licenses 1

Addresses

Locations

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.

• David S Bailie, MD

  • Orthopaedic Surgery Physician
  • Scottsdale, AZ
  • NPI 1487631099
  NPD (past) Authorized official

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

{
    "created_epoch": "1444608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461888000000",
    "number": "1265803605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9375 E SHEA BLVD",
            "address_2": "SUITE 263",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852606991",
            "telephone_number": "480-264-6995",
            "fax_number": "844-574-8199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20401 N 73RD ST",
            "address_2": "160",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852554107",
            "telephone_number": "480-264-6995",
            "fax_number": "844-574-8166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARIZONA INSTITUTE FOR SPORTS KNEES AND SHOULDERS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-12",
        "last_updated": "2016-04-29",
        "status": "A",
        "authorized_official_last_name": "BAILIE",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-264-6995",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Arizona Heart Anesthesia PLLC
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• Arizona in Love PLLC (Scot Liepack PhD)
• Arizona Infectious Disease PLLC
• Arizona Integrated Therapies PLLC
• Arizona Integrative Medical Center, P.C.
• Arizona Internal Medicine Associates
• Arizona Internal Medicine PC
• Arizona Internists PLLC

• Orthopaedic Surgery Physician in Scottsdale, AZ
• Providers in Scottsdale, AZ by specialty
• Orthopaedic Surgery Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2016; 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.