Active NPI
Sierra Orthopedics, PC
- Orthopaedic Surgery Physician
- Casa Grande, AZ
National Provider Identifier
1801808746
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- Legal business name
- SIERRA ORTHOPEDICS, PC
- Practice address
- 1780 E Florence Blvd Ste 106
Casa Grande, AZ 85122-4782 - Phone
- (520) 836-8988
- Fax
- (520) 836-7930
- NPI assigned
- Aug 12, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Martha A Moreno
- Title
- Manager
- Phone
- (520) 836-8988
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | Primary |
Addresses
Primary practice location
1780 E Florence Blvd Ste 106
Casa Grande, AZ 85122-4782
Mailing address
1780 E Florence Blvd Ste 106
Casa Grande, AZ 85122-4782
Phone (520) 836-8988
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200014460 | Other | RR MCR ID # | |
| 1801808746 | Other | GROUP NPI | |
| 200018015 | Other | RR MCR ID | |
| DB7999 | Other | RR MCR GROUP # |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
1840 E Florence Blvd Ste a
Casa Grande, AZ 85222
Phone (602) 836-8988
1780 E Florence Blvd
Ste 106
Casa Grande, AZ 85122
Phone (520) 836-8988
Interoperability endpoints
- terickson@direct.sierraorthopedic.com
- ewheeler@direct.sierraorthopedic.com
- smcmillan@direct.sierraorthopedic.com
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Surgical Physician Assistant
- Casa Grande, AZ
- NPI 1801808779
-
- Physician Assistant
- Casa Grande, AZ
- NPI 1396739504
-
- Orthopaedic Surgery Physician
- Casa Grande, AZ
- NPI 1194718106
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155340800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1350259200000",
"number": "1801808746",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1780 E FLORENCE BLVD STE 106",
"city": "CASA GRANDE",
"state": "AZ",
"postal_code": "851224782",
"telephone_number": "520-836-8988",
"fax_number": "520-836-7930"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1780 E FLORENCE BLVD STE 106",
"city": "CASA GRANDE",
"state": "AZ",
"postal_code": "851224782",
"telephone_number": "520-836-8988",
"fax_number": "520-836-7930"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SIERRA ORTHOPEDICS, PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-12",
"last_updated": "2012-10-15",
"status": "A",
"authorized_official_last_name": "MORENO",
"authorized_official_first_name": "MARTHA",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "520-836-8988",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Orthopaedic Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MCR ID #",
"identifier": "200014460",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP NPI",
"identifier": "1801808746",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MCR ID",
"identifier": "200018015",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MCR GROUP #",
"identifier": "DB7999",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Casa Grande, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2012; 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.