Individual provider Active NPI

Stephen Ozanne, M.D.

  • Orthopaedic Surgery of the Spine Physician
  • Dallas, TX
National Provider Identifier
1528051034
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
Practice address
3450 W Wheatland Rd
Suite 330
Dallas, TX 75237-3470
Phone
(972) 299-6966
Fax
(972) 299-9100
NPI assigned
Aug 30, 2005
Sex
Male
Sole proprietor
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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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 3

IdentifierTypeStateIssuer
0026ENOtherTXBLUE CROSS/SHIELD
122086504MedicaidTX
200038682OtherTXRAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
G8637TXMDOrthopaedic Surgery of the Spine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Stephen Ozanne M.D., P.a. Orthopaedic Surgery of the Spine PastSince Jan 1, 1990 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: sozanne@direct.uspi.com

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1125360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480377600000",
    "number": "1528051034",
    "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": {
        "last_name": "OZANNE",
        "first_name": "STEPHEN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-30",
        "last_updated": "2016-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XS0117X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": "TX",
            "license": "G8637",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/SHIELD",
            "identifier": "0026EN",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "122086504",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "200038682",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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.