SOUTHERN ARIZONA ORTHOPEDICS, P.C. (NPI# 1174668099) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174668099 |
| Entity Type | Organization |
| Organization Name | SOUTHERN ARIZONA ORTHOPEDICS, P.C. |
| Practice Address |
6602 E Carondelet Dr Tucson AZ 85710-2119 |
| Practice Telephone | 5208856701 |
| Practice Fax Number | 5208859037 |
| Mailing Telephone | 5208856701 |
| Mailing Fax Number | 5208859037 |
| Enumeration Date | 2007-02-20 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | LAURITA LIPSY (OFFICE MANAGER) |
| Authorized Official Telephone | 5208856701 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 207X00000X | Orthopaedic Surgery | Allopathic & Osteopathic Physicians | ||
| X | 207XS0106X |
Orthopaedic Surgery Specialization: Hand Surgery |
Allopathic & Osteopathic Physicians | ||
| X | 207XS0114X |
Orthopaedic Surgery Specialization: Adult Reconstructive Orthopaedic Surgery |
Allopathic & Osteopathic Physicians | ||
| X | 207XX0004X |
Orthopaedic Surgery Specialization: Foot and Ankle Surgery |
Allopathic & Osteopathic Physicians | ||
| X | 207XX0005X |
Orthopaedic Surgery Specialization: Sports Medicine |
Allopathic & Osteopathic Physicians | ||
| X | 207XX0801X |
Orthopaedic Surgery Specialization: Orthopaedic Trauma |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 224551 | 05 | |
| AZ | 356346 | 05 | |
| AZ | 201020 | 05 | |
| AZ | 932394 | 05 |
| Street Address |
6602 E CARONDELET DR |
| City | TUCSON |
| State | AZ |
| Zip Code | 85710-2119 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689220691 | Elidia Beas Newbold | Technician | 9122 E. Calle Maria, Tuscon, AZ 85710 | 2019-08-15 |
| 1669934014 | Pain Institute of Southern Arizona (pisa), PC | Pain Medicine | 7140 E Rosewood Street, Suite 110, Tucson, AZ 85710 | 2019-04-04 |
| 1316438351 | Life Aligned Regenerative Medical Center LLC | General Practice | 7920 E Broadway Blvd, Suite 106, Tuscon, AZ 85710 | 2018-05-25 |
| 1497264253 | Beverly Capili | Nurse Practitioner | 6622 East Carondelet Drive, Tucson, AZ 85710 | 2017-09-25 |
| 1629590120 | Linsey Nicole Tomaro | Physician Assistant | 6303 E. Broadway Blvd., Suite 161, Tucson, AZ 85710 | 2017-07-17 |
| 1750803748 | Christopher Sullivan | Podiatrist | 6442 S. Speedway Blvd, Ste 102, Tucson, AZ 85710 | 2017-07-11 |
| 1346762713 | Friday Sika | Respite Care | 8251 E. Kenyon Dr., Tucson, AZ 85710 | 2017-07-07 |
| 1821536228 | Southern Arizona Urgent Care, LLC | Clinic/Center | 6303 E. Broadway Blvd, 161, Tucson, AZ 85710 | 2017-02-06 |
| 1659727816 | Mwangaza Residential Care LLC | Community Based Residential Treatment Facility, Mental Illness | 8421 E. Colette St, Tucson, AZ 85710 | 2016-05-06 |
| 1124494240 | Caring Connections for Special Needs, LLC | Community/Behavioral Health | 921 S Prudence Rd, Tucson, AZ 85710 | 2015-08-12 |
| Find all providers in zip 85710 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154945194 | John C. Medlen, M.d., P.C. | Orthopaedic Surgery | 1701 W St Marys Rd Ste 145, Tucson, AZ 85745-2683 | 2020-06-05 |
| 1992071823 | Charles Phillip Fina Md | Orthopaedic Surgery | 5180 E. Fort Lowell Rd, Tucson, AZ 85712-1309 | 2012-03-26 |
| 1144504424 | Charles Harold Willingahm | Orthopaedic Surgery | 6739 E Calle Cadena, Tucson, AZ 85715-3244 | 2011-10-05 |
| 1669785937 | Andrew Phillip Schannen | Orthopaedic Surgery | 1248 N Norton Ave, Tucson, AZ 85719-4715 | 2010-07-15 |
| 1396988143 | George T. Anast | Orthopaedic Surgery | 5740 N Barrasca Ave, Tucson, AZ 85750-1330 | 2009-04-09 |
| 1669657961 | David J Martin Md PC | Orthopaedic Surgery | 7444 N La Cholla Blvd, Tucson, AZ 85741-2306 | 2008-01-04 |
| 1790973089 | Jon Thaddeus Abbott | Orthopaedic Surgery | 7925 N Oracle Rd, Suite 121, Tucson, AZ 85704-6316 | 2007-10-11 |
| 1710178272 | Ellis Franklin Friedman | Orthopaedic Surgery | 5279 N Sunset Shadows Place, Tucson, AZ 85750-6268 | 2007-08-08 |
| 1043417611 | Jacob Riis | Orthopaedic Surgery | 355 Mdg, 4175 South Alamo Ave, Tucson, AZ 85707 | 2007-06-28 |
| 1568598423 | Abelardo Sotelo | Orthopaedic Surgery | 4422 E Holmes St, Tucson, AZ 85711-2948 | 2007-02-26 |
| Find all providers in TUCSON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.