Az Ortho PA PLLC

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

3580 Issued in AZ

Legal business name

AZ ORTHO PA PLLC

Practice address

20201 N Scottsdale Healthcare Dr
Suite 280
Scottsdale, AZ 85255-4134

Phone

(480) 473-3668

Fax

(480) 473-3671

NPI assigned

Jul 23, 2009

Organization subpart

No

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

Authorized official

Name

Christina Lynn Spicer, P.A.

Title

Owner

Phone

(480) 510-2818

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

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

• Christina L.S. Willman, PA-C

  • Surgical Physician Assistant
  • Phoenix, AZ
  • NPI 1285702464
  NPD (past)

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

{
    "created_epoch": "1248307200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1254096000000",
    "number": "1871723866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7119 E SHEA BLVD",
            "address_2": "SUITE 109-233",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852546107",
            "telephone_number": "480-510-2818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20201 N SCOTTSDALE HEALTHCARE DR",
            "address_2": "SUITE 280",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852554134",
            "telephone_number": "480-473-3668",
            "fax_number": "480-473-3671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AZ ORTHO PA PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-23",
        "last_updated": "2009-09-28",
        "status": "A",
        "authorized_official_last_name": "SPICER",
        "authorized_official_first_name": "CHRISTINA",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-510-2818",
        "authorized_official_credential": "P.A."
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant, Surgical",
            "state": "AZ",
            "license": "3580",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "167289",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Az Multicare LTD
• Az Neb Source, Inc
• Az Neuromonitoring LLC
• Az Neuroreading, LLC
• Az Ortho Joint Replacement Center LLC
• Az Orthopedics LLC
• Az Pain Management LLC
• Az Pediatric Therapy, PLLC
• Az Perio PLLC
• Az Physio

• Surgical Physician Assistant in Scottsdale, AZ
• Providers in Scottsdale, AZ by specialty
• Surgical Physician Assistant in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.