Osteoarthritis Centers of America Medical Group PC

Primary specialty

Pain Clinic/CenterTaxonomy code 261QP3300X

License

C190256 Issued in ID

Legal business name

OSTEOARTHRITIS CENTERS OF AMERICA MEDICAL GROUP PC

Doing business as

OsteoArthritis Centers of America

Practice address

1097 N Rosario St
Suite 110
Meridian, ID 83642-8095

Phone

(208) 906-8322

Fax

(208) 629-7059

NPI assigned

Jan 19, 2012

Last updated

Jan 19, 2012By 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

Christian J Cran

Title

Chief Financial Officer

Phone

(801) 258-1482

Specialties & licenses 1

Addresses

Other names 1

• OsteoArthritis Centers of America Doing business as

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

• Osteoarthritis Centers of America Medical Group PC

  • Pain Clinic/Center
  • Bluffdale, UT
  • NPI 1376844886

  Member Of

  NPD member

Locations

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

{
    "created_epoch": "1326931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326931200000",
    "number": "1942571229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14587 S 790 W",
            "address_2": "SUITE A200",
            "city": "BLUFFDALE",
            "state": "UT",
            "postal_code": "840652319",
            "telephone_number": "801-478-2526",
            "fax_number": "801-931-2498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1097 N ROSARIO ST",
            "address_2": "SUITE 110",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836428095",
            "telephone_number": "208-906-8322",
            "fax_number": "208-629-7059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OSTEOARTHRITIS CENTERS OF AMERICA MEDICAL GROUP PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-19",
        "last_updated": "2012-01-19",
        "status": "A",
        "authorized_official_last_name": "CRAN",
        "authorized_official_first_name": "CHRISTIAN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "801-258-1482"
    },
    "taxonomies": [
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": "ID",
            "license": "C190256",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "OsteoArthritis Centers of America",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sarah Wampold Orr
• Orthopaedic Trauma Consultants of Idaho (North Fork Orthopedic Surgery)
• Orthopedic Health Care Incorporated
• Sara Orton
• Kody Quentin Osborne, DMD
• Jan Osterberg
• Mariya Rose Ostermiller, MPAS, PA-C
• Sis E Ostolasa, PA
• Marivin Oto, DDS
• Sophie Otradovec

• Pain Clinic/Center in Meridian, ID
• Providers in Meridian, ID by specialty
• Pain Clinic/Center in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2012; 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.