Organization Active NPI

Sierra Orthopedics, PC

  • Orthopaedic Surgery Physician
  • Casa Grande, AZ
National Provider Identifier
1801808746
Registry record updated Oct 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
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

Updated by the provider on Oct 15, 2012

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)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
200014460OtherRR MCR ID #
1801808746OtherGROUP NPI
200018015OtherRR MCR ID
DB7999OtherRR MCR GROUP #

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040624001580 AZ Part B Supplier - Clinic/Group Practice 2466438106 Receives reassigned benefits from 3 practitioners
Practice locations: Casa Grande, AZ

National Provider Directory

National Provider Directory

Locations

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

  • Direct secure messaging: terickson@direct.sierraorthopedic.com
  • Direct secure messaging: ewheeler@direct.sierraorthopedic.com
  • Direct secure messaging: 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.

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.

Verify at the official NPI Registry.