Omega Orthopaedics, Inc

Primary specialty

Orthopaedic Trauma PhysicianTaxonomy code 207XX0801X

License

09582 Issued in AZ

Legal business name

OMEGA ORTHOPAEDICS, INC

Practice address

203 S. Candy Lane
Suite 4B
Cottonwood, AZ 86326-8107

Phone

(928) 634-0123

Fax

(928) 634-0123

NPI assigned

Apr 18, 2007

Last updated

Aug 22, 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

Dr. Thomas Joseph Peters, MDNPI 1912906645

Title

Medical Director

Phone

(928) 634-0123

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Thomas Joseph Peters, M.D.

  • Orthopaedic Surgery Physician
  • Tuba City, AZ
  • NPI 1912906645
  NPD (past) Authorized official
• Steven Herrman, PA

  • Physician Assistant
  • Cottonwood, AZ
  • NPI 1023196284
  NPD (past)
• Elena Suzanne Shea, MD

  • Family Medicine Physician
  • Cottonwood, AZ
  • NPI 1023150794
  NPD (past)
• Susan Zelda Wilkinson, MD

  • Internal Medicine Physician
  • Pittsburgh, PA
  • NPI 1982931044
  NPD (past)

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

{
    "created_epoch": "1176854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1881810844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 S. CANDY LANE",
            "address_2": "SUITE 4B",
            "city": "COTTONWOOD",
            "state": "AZ",
            "postal_code": "863268107",
            "telephone_number": "928-634-0123",
            "fax_number": "928-634-0123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 S. CANDY LANE",
            "address_2": "SUITE 4B",
            "city": "COTTONWOOD",
            "state": "AZ",
            "postal_code": "863268107",
            "telephone_number": "928-634-0123",
            "fax_number": "928-634-0123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OMEGA ORTHOPAEDICS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PETERS",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "928-634-0123",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207XX0801X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery, Orthopaedic Trauma",
            "state": "AZ",
            "license": "09582",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "203943",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSAZ",
            "identifier": "AZ0008170",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Old Town General Dentistry & Denture Lab
• Lisa Coffey Oliver, M.D.
• Rachel Olsen
• Kimberly A. Olson-McMaster, MSOM, L.AC.
• Jacqueline Danielle Oltremari, PA-C
• Judy Osborn, RN
• Otolaryngology-Head & Neck Surgery, LTD
• P3 Physical Therapy & Performance
• Anna Pacelli, M.D.
• Kristina Paley, M.D.

• Orthopaedic Trauma Physician in Cottonwood, AZ
• Providers in Cottonwood, AZ by specialty
• Orthopaedic Trauma Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.