Southwest Orthopedic and Spine Hospital, LLC

Primary specialty

Special HospitalTaxonomy code 284300000X

License

SH5128 Issued in AZ

Legal business name

SOUTHWEST ORTHOPEDIC AND SPINE HOSPITAL, LLC

Doing business as

O:A:S:I:S: Hospital

Practice address

750 N 40TH St
Phoenix, AZ 85008-6486

Phone

(602) 797-7700

Fax

(602) 797-7979

NPI assigned

Aug 3, 2010

Last updated

Jan 14, 2025By 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

Eric Boon

Title

Authorized Official

Phone

(480) 567-0269

Specialties & licenses 1

Addresses

Other names 1

• O:A:S:I:S: Hospital Doing business as

Electronic endpoints 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1275847105. Details of each certification follow.

• CCN 030131 Hospital · Terminated · Name & address match · Details

Hospital certification: CCN 030131

Legal name

O.A.S.I.S. HOSPITAL

Certification status

Terminated Voluntary: merger or closure, May 1, 2024

Provider type (POS)

Hospital – Short-term

Participating since

Aug 29, 2011

Last certification

Jul 20, 2017

Beds

64

Ownership / control type

Private (not for profit)

Facility address

750 North 40TH Street
Phoenix, AZ 85008

Member of 2

Organizations this organization is a member of, according to the National Provider Directory.

• Dignity Health

  dba Mercy Gilbert Medical Center

  • General Acute Care Hospital
  • Gilbert, AZ
  • NPI 1992735088

  Member Of

  NPD member
• Baylor University Medical Center

  • Durable Medical Equipment & Medical Supplies
  • Dallas, TX
  • NPI 1518967231

  Member Of

  NPD member

Interoperability endpoints

• Direct secure messaging: oasishospital@direct.summit-healthcare.org

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

{
    "created_epoch": "1280793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736812800000",
    "number": "1275847105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "750 N 40TH ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850086486",
            "telephone_number": "602-797-7700",
            "fax_number": "602-797-7979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 N 40TH ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850086486",
            "telephone_number": "602-797-7700",
            "fax_number": "602-797-7979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHWEST ORTHOPEDIC AND SPINE HOSPITAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-03",
        "last_updated": "2025-01-14",
        "certification_date": "2025-01-14",
        "status": "A",
        "authorized_official_last_name": "BOON",
        "authorized_official_first_name": "ERIC",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "480-567-0269"
    },
    "taxonomies": [
        {
            "code": "284300000X",
            "taxonomy_group": "",
            "desc": "Special Hospital",
            "state": "AZ",
            "license": "SH5128",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "OasisHospital@direct.summit-healthcare.org",
            "affiliation": "N",
            "endpointDescription": "Direct Email Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "750 N 40th St",
            "city": "Phoenix",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "850086486",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://esmd.abilitynetwork.com:8291/gateway/documentsubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.667.2",
            "affiliationName": "Ability Network",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "64 S Price Rd Ste B",
            "city": "Brownsville",
            "state": "TX",
            "country_code": "US",
            "postal_code": "785212459",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "O:A:S:I:S: Hospital",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "O:A:S:I:S: Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Southwest Neuro-Imaging LTD
• Southwest Neurology and Sleep Medicine LLC (Bluesky Family Medicine)
• Southwest Oncology & Hematology, PC
• Southwest Orofacial Group, Inc.
• Southwest Orofacial Group, Inc.
• Southwest Pain Consultants PLLC
• Southwest Pain Solutions, LLC (Southwest Pain Solutions)
• Southwest Pain Specialists, LLC
• Southwest Pediatrics Payment Processing, LLC
• Southwest Pediatrics, PLLC

• Special Hospital in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Special Hospital in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.