JOINT REGENERATIVE LLC


Address: 4340 E Indian School Rd Ste 21-536, Phoenix, AZ 85018-5360
Phone: 6024290404

JOINT REGENERATIVE LLC (NPI# 1417420126) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1417420126
Entity Type Organization
Organization Name JOINT REGENERATIVE LLC
Practice Address 4340 E Indian School Rd Ste 21-536
Phoenix
AZ 85018-5360
Practice Telephone 6024290404
Practice Fax Number 4806033244
Mailing Telephone 6024290404
Mailing Fax Number 4806033244
Enumeration Date 2019-01-04
Last Update Date 2019-01-04
Authorized Official Name LUCINDA RICCI (ADMINISTRATOR)
Authorized Official Telephone 6024290404
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207XX0005X Orthopaedic Surgery
Specialization: Sports Medicine
Allopathic & Osteopathic Physicians

Office Location

Street Address 4340 E INDIAN SCHOOL RD STE 21-536
City PHOENIX
State AZ
Zip Code 85018-5360

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1457766792 Anne Marie Hatch Psychiatry & Neurology 5090 N 40th St Ste 250a, Phoenix, AZ 85018 2014-06-25
1972848315 Crystal M Ostermeyer Physician Assistant 4350 East Camelback Rd, Suite G-100, Phoenix, AZ 85018 2012-12-11
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Taxonomy Information

Taxonomy Code 207XX0005X
Grouping Allopathic & Osteopathic Physicians
Classification Orthopaedic Surgery
Specialization Sports Medicine

Taxonomy Definition

An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton changed, source changed] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. ACGME Accredited Program Requirements: 1 year GME in the specialty + 5 years of Orthopaedic Surgery for a total of 6 years

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1225408453 Arizona Orthopaedic Group Pllc Orthopaedic Surgery 2222 E Highland Ave, Suite 203, Phoenix, AZ 85016-4872 2015-09-30
1841682309 Mattalino Orthopaedic Sports Surgical Specialists, LLC Orthopaedic Surgery 2222 E Highland Ave, Suite 425, Phoenix, AZ 85016-4872 2015-02-20
1255734919 Cucchetti Orthopedics and Sports Medicine Orthopaedic Surgery 4440 N 36th St, Suite 100, Phoenix, AZ 85018-3588 2014-10-08
1326459660 Torrey Parry Orthopaedic Surgery 9321 W Thomas Rd Ste 205, Phoenix, AZ 85037-3392 2014-05-08
1366870180 Micheal T Lee Md PC Orthopaedic Surgery 2222 E Highland Ave, Suite 425, Phoenix, AZ 85016-4872 2013-10-15
1013274950 Laura Vogel Abernathie Orthopaedic Surgery 2222 E Highland Ave Ste 300, Phoenix, AZ 85016-4879 2012-04-17
1447575287 Stacey D Mcclure Md Pllc Orthopaedic Surgery 9250 N 3rd St, Ste 4030, Phoenix, AZ 85020-2437 2010-04-05
1083878615 Shelden L Martin Orthopaedic Surgery 3033 N 44th St Ste 100, Phoenix, AZ 85018-7227 2008-07-14
1518161264 Seivert Orthopedics and Sports Medicine,pc Orthopaedic Surgery 4611 E Shea Blvd, Suite 200, Phoenix, AZ 85028-4254 2007-06-14
1811109879 Arizona Arthroscopy & Sports Medicine, Ltd Orthopaedic Surgery 4550 E Bell Rd, Bldg 8 Suite 276, Phoenix, AZ 85032-9306 2007-05-04
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City PHOENIX
Zip Code 85018

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Dataset Information

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.

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