Active NPI
Precision Hand and Orthopedic Surgery PLLC
- Orthopaedic Surgery Physician
- Peoria, AZ
National Provider Identifier
1508535733
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- Legal business name
- PRECISION HAND AND ORTHOPEDIC SURGERY PLLC
- Practice address
- 13090 N 94TH Dr Ste 204
Peoria, AZ 85381-4258 - Phone
- (623) 264-3300
- Fax
- (833) 913-2307
- NPI assigned
- Sep 10, 2021
- 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
- Tanay Jagdish Amin, MD
- Title
- President
- Phone
- (623) 264-3300
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 Physician | 207X00000X | Primary |
Addresses
Primary practice location
13090 N 94TH Dr Ste 204
Peoria, AZ 85381-4258
Mailing address
13090 N 94TH Dr Ste 204
Peoria, AZ 85381-4258
Phone (623) 264-3300
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 2
National Provider Directory
National Provider DirectoryLocations
13090 N 94th Dr
Ste 204
Peoria, AZ 85381
Phone (623) 264-3300
Interoperability endpoints
- https://api.platform.athenahealth.com/24960/brand/1/csg/1/fhir/r4
Practitioners & affiliated clinicians
Practitioners 1
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": "1631232000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1650499200000",
"number": "1508535733",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13090 N 94TH DR STE 204",
"city": "PEORIA",
"state": "AZ",
"postal_code": "853814258",
"telephone_number": "623-264-3300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13090 N 94TH DR STE 204",
"city": "PEORIA",
"state": "AZ",
"postal_code": "853814258",
"telephone_number": "623-264-3300",
"fax_number": "833-913-2307"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PRECISION HAND AND ORTHOPEDIC SURGERY PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-09-10",
"last_updated": "2022-04-21",
"certification_date": "2022-04-21",
"status": "A",
"authorized_official_last_name": "AMIN",
"authorized_official_first_name": "TANAY",
"authorized_official_middle_name": "JAGDISH",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "623-264-3300",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Orthopaedic Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Peoria, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.