Active NPI
Stephen Ozanne, M.D.
- Orthopaedic Surgery of the Spine Physician
- Dallas, TX
National Provider Identifier
1528051034
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery of the Spine Physician
- License
- G8637
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
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 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0026EN | Other | TX | BLUE CROSS/SHIELD |
| 122086504 | Medicaid | TX | |
| 200038682 | Other | TX | RAILROAD 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
| License | State | Type | Specialty |
|---|---|---|---|
| G8637 | TX | MD | Orthopaedic Surgery of the Spine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Stephen Ozanne M.D., P.a. | Orthopaedic Surgery of the Spine | Past | Accepting new patients |
Interoperability endpoints
- 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.
-
- Orthopaedic Surgery of the Spine Physician
- Dallas, TX
- NPI 1477807378
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.