Organization Active NPI

Arizona State Orthopaedics

  • Orthopaedic Hand Surgery Physician
  • Chandler, AZ
National Provider Identifier
1669745618
Registry record updated Feb 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Hand Surgery PhysicianTaxonomy code 207XS0106X
License
42034 Issued in AZ
Legal business name
ARIZONA STATE ORTHOPAEDICS
Practice address
2161 E Pecos Rd Ste 1
Chandler, AZ 85225-6131
Phone
(602) 753-2663
Fax
(877) 540-5431
NPI assigned
Feb 21, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2023

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

Authorized official

Name
Dr. George Kyaw Zin Myo, M.D.NPI 1700052123
Title
President
Phone
(602) 753-2663

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 8

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207X00000X 42034 AZ
Pediatric Orthopaedic Surgery PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207XP3100X 42034 AZ
Orthopaedic Hand Surgery PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207XS0106X 42034 AZ Primary
Orthopaedic Surgery of the Spine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207XS0117X 42034 AZ
Orthopaedic Foot and Ankle Surgery PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207XX0004X 42034 AZ
Sports Medicine (Orthopaedic Surgery) PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207XX0005X 42034 AZ
Orthopaedic Trauma PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207XX0801X 42034 AZ
Durable Medical Equipment & Medical Supplies 332B00000X 6909920001 AZ

Addresses

Primary practice location

2161 E Pecos Rd Ste 1
Chandler, AZ 85225-6131

Mailing address

2161 E Pecos Rd Ste 1
Chandler, AZ 85225-6131
Phone (602) 753-2663

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20120405000720 AZ Part B Supplier - Clinic/Group Practice 2163683822 Receives reassigned benefits from 4 practitioners
Practice locations: Chandler, AZ
O20131123000090 AZ DME Supplier - Physician - Unknown Physician Specialty 2163683822 Practice locations: Chandler, AZ

National Provider Directory

National Provider Directory

Locations

3345 S Val Vista Dr
Ste 107
Gilbert, AZ 85297
Phone (310) 428-0469

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/AGEDBD

Practitioners & affiliated clinicians

Practitioners 4

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": "1329782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1676419200000",
    "number": "1669745618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2161 E PECOS RD STE 1",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852256131",
            "telephone_number": "602-753-2663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2161 E PECOS RD STE 1",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852256131",
            "telephone_number": "602-753-2663",
            "fax_number": "877-540-5431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARIZONA STATE ORTHOPAEDICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-21",
        "last_updated": "2023-02-15",
        "certification_date": "2023-02-15",
        "status": "A",
        "authorized_official_last_name": "MYO",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "KYAW ZIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "602-753-2663",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "AZ",
            "license": "42034",
            "primary": false
        },
        {
            "code": "207XP3100X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery, Pediatric Orthopaedic Surgery",
            "state": "AZ",
            "license": "42034",
            "primary": false
        },
        {
            "code": "207XS0106X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery, Hand Surgery",
            "state": "AZ",
            "license": "42034",
            "primary": true
        },
        {
            "code": "207XS0117X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": "AZ",
            "license": "42034",
            "primary": false
        },
        {
            "code": "207XX0004X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery, Foot and Ankle Surgery",
            "state": "AZ",
            "license": "42034",
            "primary": false
        },
        {
            "code": "207XX0005X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "AZ",
            "license": "42034",
            "primary": false
        },
        {
            "code": "207XX0801X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery, Orthopaedic Trauma",
            "state": "AZ",
            "license": "42034",
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "AZ",
            "license": "6909920001",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chandler, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2023; 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.

Verify at the official NPI Registry.