NPIMap

Organization Active NPI

Physician Group of Arizona Inc

Doing business as Steward Orthopedic and Sports Medicine

  • Orthopaedic Surgery Physician
  • Mesa, AZ
National Provider Identifier
1932749546
Registry record updated Apr 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
Legal business name
PHYSICIAN GROUP OF ARIZONA INC
Doing business as
Steward Orthopedic and Sports Medicine
Steward Orthopedics and Sports Medicine
Practice address
10238 E Hampton Ave
Suite 301-a
Mesa, AZ 85209-3322
Phone
(602) 553-3113
NPI assigned
Jan 11, 2020
Last updated
Apr 1, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2020

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

Authorized official

Name
Michelle Dinsdale
Title
Executive Director
Phone
(602) 797-7070

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X NU Primary

Addresses

Primary practice location

10238 E Hampton Ave
Suite 301-a
Mesa, AZ 85209-3322

Mailing address

1900 N Pearl St Ste 2400
Dallas, TX 75201-2470
Phone (469) 341-8800

Other names 2

  • Steward Orthopedic and Sports Medicine Doing business as
  • Steward Orthopedics and Sports Medicine Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Physician Group of Arizona Inc8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1578700800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1585699200000",
    "number": "1932749546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 N PEARL ST STE 2400",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752012470",
            "telephone_number": "469-341-8800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10238 E HAMPTON AVE",
            "address_2": "SUITE 301-A",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852093322",
            "telephone_number": "602-553-3113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICIAN GROUP OF ARIZONA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-11",
        "last_updated": "2020-04-01",
        "certification_date": "2020-04-01",
        "status": "A",
        "authorized_official_last_name": "DINSDALE",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "602-797-7070"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Steward Orthopedic and Sports Medicine",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Steward Orthopedics and Sports Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mesa, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 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.