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
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery of the Spine Physician
- License
- G8637
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Stephen Ozanne, M.D.
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery of the Spine Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0026EN | Other | BCBS | |
| 225336 | Other | BLUE LINK | |
| 4201257 | Other | AETNA | |
| 122086504 | Medicaid | TX | |
| 844754 | Other | HMO BLUE |
Other names 1
- Cedar Hill Spine
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Orthopaedic Surgery of the Spine Physician
- Dallas, TX
- NPI 1528051034
-
- Physician Assistant
- Crofton, MD
- NPI 1649350653
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.