ORTHOSPORT AZ, INC. (NPI# 1417496019) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417496019 |
| Entity Type | Organization |
| Organization Name | ORTHOSPORT AZ, INC. |
| Practice Address |
18205 N 51st Ave Suite 145 Glendale AZ 85308-1490 |
| Mailing Address |
8205 N Via De Negocio Scottsdale AZ 85258-2312 |
| Practice Telephone | 6028660175 |
| Mailing Telephone | 4804834900 |
| Mailing Fax Number | 4804834903 |
| Enumeration Date | 2017-02-15 |
| Last Update Date | 2017-02-15 |
| Authorized Official Name | SERGIO RAMOS (PRESIDENT) |
| Authorized Official Telephone | 4804834900 |
| Is Organization Subpart | Y |
| Parent Organization Name | ORTHOSPORT AZ, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427261809 | Orthosport Az, Inc. | Durable Medical Equipment & Medical Supplies | 8205 N Via De Negocio, Scottsdale, AZ 85258-2312 | 2007-05-08 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | ORTHOSPORT AZ, INC | 8205 N Via De Negocio, Scottsdale, AZ 85258-2312 |
| Street Address |
18205 N 51ST AVE SUITE 145 |
| City | GLENDALE |
| State | AZ |
| Zip Code | 85308-1490 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376542605 | Hanh Thuy Vuong | Chiropractor | 18205 N 51st Ave, Glendale, AZ 85308-1490 | 2005-07-19 |
| 1053861583 | Nicholas Archer | Nurse Practitioner | 18205 N 51st Ave, Suite 129, Glendale, AZ 85308-1490 | 2016-10-07 |
| 1114336120 | Shelby Wilson | Physician Assistant | 18205 N 51st Ave, Suite 129, Glendale, AZ 85308-1490 | 2014-08-05 |
| 1518381060 | Dvm Pain Group Pllc | Nurse Practitioner | 18205 N 51st Ave, Suite 113, Glendale, AZ 85308-1490 | 2014-02-04 |
| 1932404316 | Mancuso Chiro Center LLC | Chiropractor | 18205 N 51st Ave, Suite 113, Glendale, AZ 85308-1490 | 2011-01-17 |
| 1700186046 | Adrian Pulkrabek Dds LLC | Dentist | 18205 N 51st Ave, Suite 137, Glendale, AZ 85308-1490 | 2010-11-02 |
| 1568644649 | Kevin C Ward | Anesthesiology | 18205 N 51st Ave, Suite 109, Glendale, AZ 85308-1490 | 2007-11-30 |
| 1245410257 | Wendy Chandross Cisw PC | Social Worker | 18205 N 51st Ave, Building 2, Suite 115, Glendale, AZ 85308-1490 | 2007-11-07 |
| 1740402940 | Arizona Anesthesia Consultants, Inc. | Nurse Anesthetist, Certified Registered | 18205 N 51st Ave, Ste. 109, Glendale, AZ 85308-1490 | 2007-05-03 |
| 1053534453 | Arrowhead Plaza Dental Group Plc | Dentist | 18205 N 51st Ave, Suite 101, Glendale, AZ 85308-1490 | 2007-04-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972102572 | Inspire Wellness and Pelvic Health | Clinic/Center | 5940 W Union Hills Dr Ste D280, Glendale, AZ 85308 | 2020-10-23 |
| 1669081709 | Michelle Yoakim | Student in an Organized Health Care Education/Training Program | 19555 N 59th Avenuue, Glendale, AZ 85308 | 2020-07-24 |
| 1033742291 | Kaitlyn Marie Shannon | Dietitian, Registered | 20325 North 51st Avenue, Building 9, Suite 166, Glendale, AZ 85308 | 2020-02-17 |
| 1295377687 | Serenity Preserved Counseling Pllc | Counselor | 21448 N. 75th Avenue Ste G, Glendale, AZ 85308 | 2019-10-17 |
| 1013567023 | Caitlyn Heredia | Student in an Organized Health Care Education/Training Program | 18330 N 79th Avenue, Apartment 1070, Glendale, AZ 85308 | 2019-09-12 |
| 1770141061 | Sydney Dangelo | Student in an Organized Health Care Education/Training Program | 7454 W Denaro Dr, Glendale, AZ 85308 | 2019-05-31 |
| 1023585742 | Center for Couples Therapy, Pllc | Counselor | 18205 N 51st Ave, Ste 113, Glendale, AZ 85308 | 2018-10-31 |
| 1831678341 | Ayat Mahdi Obeidi | Dentist | 19420 N 59th Ave Ste D400, Glendale, AZ 85308 | 2018-08-07 |
| 1720580038 | Lifeline Professional Counseling Services, Inc | Clinic/Center | 17235 N 75th Ave Suite F-100, Glendale, AZ 85308 | 2018-03-02 |
| 1003318585 | Danna Mavis Constance Moisii | Physician Assistant | 18301 N. 79th Ave #g190, Glendale, AZ 85308 | 2018-03-01 |
| Find all providers in zip 85308 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841805918 | Rowan Clarke | Durable Medical Equipment & Medical Supplies | 7818 85th St, Glendale, NY 11385-7615 | 2020-09-15 |
| 1669081501 | Thrify Payless Inc | Durable Medical Equipment & Medical Supplies | 100 W Broadway Ste 5516, Glendale, CA 91210-1202 | 2020-07-27 |
| 1093336984 | Love LLC | Durable Medical Equipment & Medical Supplies | 1027 S Central Ave Ste 300, Glendale, CA 91204-3973 | 2020-05-01 |
| 1164051900 | Stateserv Medical of Phoenix LLC | Durable Medical Equipment & Medical Supplies | 5234 W. Missouri, Glendale, AZ 85301 | 2020-04-03 |
| 1740827260 | Trinity Barcing, Inc | Durable Medical Equipment & Medical Supplies | 7721 79th Place, Ground, Glendale, NY 11385-7537 | 2019-12-03 |
| 1932760535 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1487 E Chevy Chase Dr, Glendale, CA 91206-4008 | 2019-06-25 |
| 1093207755 | Km Medical Supplies | Durable Medical Equipment & Medical Supplies | 469 W Windsor Rd Apt 1, Glendale, CA 91204-1925 | 2018-05-30 |
| 1619470085 | Kokopelli Eye Care PC | Durable Medical Equipment & Medical Supplies | 5140 W Peoria Ave Ste 116, Glendale, AZ 85302-1631 | 2018-03-13 |
| 1427556588 | Joints In Motion Medical, LLC | Durable Medical Equipment & Medical Supplies | 525 W. Riverwoods Parkway #120, Glendale, WI 53212 | 2018-01-24 |
| 1962919449 | Bhsm Rehabilitation, LLC | Durable Medical Equipment & Medical Supplies | 5605 W Eugie Ave Ste 206, Glendale, AZ 85304-1274 | 2018-01-05 |
| Find all providers in GLENDALE | ||||
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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.