Orthoarizona Scottsdale ASC, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

ORTHOARIZONA SCOTTSDALE ASC, LLC

Doing business as

OrthoArizona Scottsdale Surgery Center

Practice address

8405 N Pima Center Parkway, Suite 102
Scottsdale, AZ 85258

Phone

(480) 812-5313

NPI assigned

Nov 23, 2020

Last updated

Nov 23, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Glen Reiner

Title

Senior Vice President

Phone

(480) 739-2705

Specialties & licenses 1

Addresses

Other names 1

• OrthoArizona Scottsdale Surgery Center Doing business as

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Listed as

Orthoarizona Scottsdale ASC LLC Dba Orthoarizona Scottsdale Surgery CenterCCN 03C0001438

Medicare certification status

ActiveFrom the Provider of Services file

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1606089600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1606089600000",
    "number": "1730783523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3033 N 44TH ST STE 200",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850187244",
            "telephone_number": "480-207-3717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8405 N PIMA CENTER PARKWAY, SUITE 102",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "85258",
            "telephone_number": "480-812-5313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORTHOARIZONA SCOTTSDALE ASC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-23",
        "last_updated": "2020-11-23",
        "certification_date": "2020-11-20",
        "status": "A",
        "authorized_official_last_name": "REINER",
        "authorized_official_first_name": "GLEN",
        "authorized_official_title_or_position": "SENIOR VICE PRESIDENT",
        "authorized_official_telephone_number": "480-739-2705"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "OrthoArizona Scottsdale Surgery Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Maria Del Pilar Ortega
• Marina Ortega, COLON HYDROTHERAPIST
• Michaela Ortega
• Vanessa Ivonne Ortega, M.A., BCBA
• Ortho Elite Performance & Recovery PLLC
• Orthopaedic Specialists of Scottsdale, PLLC
• Orthopedic Institute PLLC
• Orthopedic Specialists of North America PLLC (OrthoArizona)
• Orthopedic Specialists of North America PLLC
• Orthopedic Specialists of North America PLLC (OrthoArizona)

• Ambulatory Surgical Clinic/Center in Scottsdale, AZ
• Providers in Scottsdale, AZ by specialty
• Ambulatory Surgical Clinic/Center in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.