A-1 Orthopedic, LLC
Organization Active NPI Orthopaedic Surgery Physician · Tempe, AZ
NPI 1962788331 · NPPES record last updated Jul 24, 2012
Key facts
- NPI
- 1962788331
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Orthopaedic Surgery Physician 207X00000X
- License
- 29248 (AZ)
- Legal business name
- A-1 ORTHOPEDIC, LLC
- Practice address
- 2501 E Southern Ave
Suite 1
Tempe, AZ 85282-7669 - Phone
- (480) 299-7908
- Fax
- (480) 835-1021
- NPI assigned
- Oct 28, 2011
- Organization subpart
- No
Authorized official
- Name
- Haagen A Diener, MD
- Title
- President
- Phone
- (480) 833-0204
National Provider Directory
Locations
2501 E Southern Ave
Ste 1
Tempe, AZ 85282
Phone (480) 289-7908
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician |
207X00000X | 29248 | AZ | Yes |
Addresses
Primary practice location
2501 E Southern Ave
Suite 1
Tempe, AZ 85282-7669
Mailing address
2501 E Southern Ave
Suite 1
Tempe, AZ 85282-7669
Phone (480) 299-7908
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 563016 | Medicaid | AZ | |
| 65596 | Other | AZ | MEDICARE ID |
| AZ0884660 | Other | AZ | BCBS |
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All providers in Tempe, AZ · Orthopaedic Surgery Physician in Arizona
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 24, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.