Canyon Orthopaedic Surgeons

Primary specialty

Orthopaedic Hand Surgery PhysicianTaxonomy code 207XS0106X

Legal business name

CANYON ORTHOPAEDIC SURGEONS

Practice address

10450 W McDowell Rd
Ste 102
Avondale, AZ 85392

Phone

(623) 846-7614

Fax

(623) 848-4738

NPI assigned

Sep 16, 2006

Last updated

Aug 4, 2011By 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

Mrs. Joanna L Poindexter III

Title

Assistant Practice Manager

Phone

(623) 846-7614

Specialties & licenses 4

Addresses

Other identifiers 5

Other names 1

• CANYON ORTHOPAEDIC SURGEONS Other name

Locations

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

{
    "created_epoch": "1158364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1312416000000",
    "number": "1982700720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10450 W MCDOWELL RD",
            "address_2": "SUITE 102",
            "city": "AVONDALE",
            "state": "AZ",
            "postal_code": "853924802",
            "telephone_number": "623-846-7614",
            "fax_number": "623-846-0993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10450 W MCDOWELL RD",
            "address_2": "STE 102",
            "city": "AVONDALE",
            "state": "AZ",
            "postal_code": "85392",
            "telephone_number": "623-846-7614",
            "fax_number": "623-848-4738"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CANYON ORTHOPAEDIC SURGEONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-16",
        "last_updated": "2011-08-04",
        "status": "A",
        "authorized_official_last_name": "POINDEXTER",
        "authorized_official_first_name": "JOANNA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "ASSISTANT PRACTICE MANAGER",
        "authorized_official_telephone_number": "623-846-7614",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_name_suffix": "III"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207XS0106X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Hand Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207XS0114X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EFF 5/1/2010, OSNA GROUP PTAN",
            "identifier": "Z136714",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE DMERC (AV)",
            "identifier": "0692950001",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AS OF 5/1/2010, CANYON/OSNA DIVISION NPI",
            "identifier": "1770805590",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CANYON GROUP NPI PRIOR TO 5/1/2010",
            "identifier": "1982700720",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EFF 5/1/2010, OSNA GROUP NPI",
            "identifier": "1770812828",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CANYON ORTHOPAEDIC SURGEONS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Orthopaedic Hand Surgery Physician in Avondale, AZ
• Providers in Avondale, AZ by specialty
• Orthopaedic Hand Surgery Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2011; 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.