Organization Active NPI

Stephen Ozanne M.D., P.a.

Doing business as Cedar Hill Spine

  • Orthopaedic Surgery of the Spine Physician
  • Dallas, TX
National Provider Identifier
1477807378
Registry record updated Nov 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery of the Spine PhysicianTaxonomy code 207XS0117X
License
G8637 Issued in TX
Legal business name
STEPHEN OZANNE M.D., P.A.
Doing business as
Cedar Hill Spine
Practice address
3450 W Wheatland Rd
Suite 330
Dallas, TX 75237-3470
Phone
(972) 299-6966
Fax
(972) 299-9100
NPI assigned
Oct 31, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2016

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

Authorized official

Name
Stephen Ozanne, M.D.NPI 1528051034
Title
Owner
Phone
(972) 299-6966

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery of the Spine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207XS0117X G8637 TX Primary

Addresses

Primary practice location

3450 W Wheatland Rd
Suite 330
Dallas, TX 75237-3470

Mailing address

PO Box 543066
Grand Prairie, TX 75054-3066
Phone (972) 299-6966

Other identifiers 5

IdentifierTypeStateIssuer
0026ENOtherBCBS
225336OtherBLUE LINK
4201257OtherAETNA
122086504MedicaidTX
844754OtherHMO BLUE

Other names 1

  • Cedar Hill Spine Doing business as

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": "1351641600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1480377600000",
    "number": "1477807378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 543066",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750543066",
            "telephone_number": "972-299-6966",
            "fax_number": "972-299-9100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3450 W WHEATLAND RD",
            "address_2": "SUITE 330",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752373470",
            "telephone_number": "972-299-6966",
            "fax_number": "972-299-9100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEPHEN OZANNE M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-31",
        "last_updated": "2016-11-29",
        "status": "A",
        "authorized_official_last_name": "OZANNE",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "972-299-6966",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207XS0117X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": "TX",
            "license": "G8637",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0026EN",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE LINK",
            "identifier": "225336",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4201257",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "122086504",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HMO BLUE",
            "identifier": "844754",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cedar Hill Spine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dallas, TX

Sources for this page

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