NPIMap

Organization Active NPI

San Tan Orthopedics, PLC

  • Orthopaedic Surgery Physician
  • Phoenix, AZ
National Provider Identifier
1932348851
Registry record updated Apr 15, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
29962 Issued in AZ
Legal business name
SAN TAN ORTHOPEDICS, PLC
Practice address
4411 N 24TH Way
Phoenix, AZ 85016-4972
Phone
(480) 678-5186
Fax
(602) 685-9595
NPI assigned
Feb 17, 2009
Last updated
Apr 15, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2009

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

Authorized official

Name
Steven L Myerthall, MD
Title
Owner
Phone
(480) 678-5186

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207X00000X 29962 AZ Primary

Addresses

Primary practice location

4411 N 24TH Way
Phoenix, AZ 85016-4972

Mailing address

4411 N 24TH Way
Phoenix, AZ 85016-4972
Phone (480) 678-5186

Other identifiers 1

IdentifierTypeStateIssuer
749559MedicaidAZ

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1234828800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1239753600000",
    "number": "1932348851",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4411 N 24TH WAY",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850164972",
            "telephone_number": "480-678-5186",
            "fax_number": "602-685-9595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4411 N 24TH WAY",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850164972",
            "telephone_number": "480-678-5186",
            "fax_number": "602-685-9595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAN TAN ORTHOPEDICS, PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-17",
        "last_updated": "2009-04-15",
        "status": "A",
        "authorized_official_last_name": "MYERTHALL",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-678-5186",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "AZ",
            "license": "29962",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "749559",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 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.