Center for Orthopedic Research and Education LLC

Organization Active NPI Durable Medical Equipment & Medical Supplies · Mesa, AZ

NPI 1710445481 · NPPES record last updated Jun 13, 2023

Key facts

NPI
1710445481
Entity type
Organization (NPI type 2)
Primary specialty
Durable Medical Equipment & Medical Supplies 332B00000X
Legal business name
CENTER FOR ORTHOPEDIC RESEARCH AND EDUCATION LLC
Practice address
1500 S Dobson Rd Ste 202
Mesa, AZ 85202-4724
Phone
(866) 974-2673
Fax
(866) 939-2673
NPI assigned
Mar 12, 2019
Organization subpart
Yes
Parent organization (as reported)
CENTER FOR ORTHOPEDIC RESEARCH AND EDUCATION INC

Authorized official

Name
David Joseph Jacofsky, MD
Title
Ceo
Phone
(866) 974-2673

Other NPIs with the same Medicare PAC ID 11

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Corporate family (same tax ID) 23

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners 247

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 247

Medicare participation

Medicare fee-for-service enrollment
Enrolled in AZ

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20190618002305 AZ DME Supplier - Physician - Orthopedic/Orthopedic Surgery 0345287322 Practice locations: Mesa, AZ

National Provider Directory

Tax ID family
Center for Orthopedic Research and Education LLC (24 organizations share this tax ID)
Part of
Center for Orthopedic Research and Education LLC

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Yes
Customized Equipment (DME) 332BC3200X
Prosthetic/Orthotic Supplier 335E00000X

Addresses

Primary practice location

1500 S Dobson Rd Ste 202
Mesa, AZ 85202-4724

Mailing address

18444 N 25TH Ave Ste 310
Phoenix, AZ 85023-1266
Phone (866) 974-2673

Other names

  • The CORE Institute Doing business as

Other providers in Mesa, AZ

All providers in Mesa, AZ · Durable Medical Equipment & Medical Supplies in Arizona

Sources for this page

Verify at the official NPI Registry.