GREATER PHOENIX ORTHOPEDICS (NPI# 1629439005) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629439005 |
| Entity Type | Organization |
| Organization Name | GREATER PHOENIX ORTHOPEDICS |
| Practice Address |
20401 N 73rd St Suite 155 Scottsdale AZ 85255-4107 |
| Mailing Address |
625 W Deer Valley Rd Suite 103 #276 Phoenix AZ 85027-2138 |
| Practice Telephone | 8004830726 |
| Practice Fax Number | 8004830729 |
| Mailing Telephone | 8004830726 |
| Mailing Fax Number | 8004830729 |
| Enumeration Date | 2016-03-14 |
| Last Update Date | 2020-03-20 |
| Authorized Official Name | MRS. REGINA GILLELAND (MANAGER) |
| Authorized Official Telephone | 8004830726 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207XS0114X |
Orthopaedic Surgery Specialization: Adult Reconstructive Orthopaedic Surgery |
34339 | AZ | Allopathic & Osteopathic Physicians |
| Street Address |
20401 N 73RD ST SUITE 155 |
| City | SCOTTSDALE |
| State | AZ |
| Zip Code | 85255-4107 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083615686 | Caryl S. Gorman | Specialist | 20401 N 73rd St, Suite 255, Scottsdale, AZ 85255-4107 | 2005-08-03 |
| 1063868057 | Jeanette Jumawan | Nurse Practitioner | 20401 N 73rd St, Suite 160, Scottsdale, AZ 85255-4107 | 2016-05-09 |
| 1265803605 | Arizona Institute for Sports Knees and Shoulders, LLC | Orthopaedic Surgery | 20401 N 73rd St, 160, Scottsdale, AZ 85255-4107 | 2015-10-12 |
| 1083024921 | Mitchell Ryan Manway | Dermatology | 20401 N 73rd St, Suite 230, Scottsdale, AZ 85255-4107 | 2014-04-30 |
| 1952740573 | Elizabeth Stori Johnson | Specialist/Technologist | 20401 N 73rd St, Ste 255, Scottsdale, AZ 85255-4107 | 2013-06-17 |
| 1609139138 | Michelle Lynn Goedken | Dermatology | 20401 N 73rd St, Suite 230, Scottsdale, AZ 85255-4107 | 2012-06-19 |
| 1922382027 | Ross Uthe | Physician Assistant | 20401 N 73rd St, Suite # 255, Scottsdale, AZ 85255-4107 | 2011-10-06 |
| 1609150010 | Scottsdale Healthcare Corp | Family Medicine | 20401 N 73rd St, Suite 105, Scottsdale, AZ 85255-4107 | 2011-10-04 |
| 1851683742 | Jena Auerbach | Pathology | 20401 N 73rd St, Suite 230, Scottsdale, AZ 85255-4107 | 2011-05-10 |
| 1215244496 | Christina Marie Snyder | Physician Assistant | 20401 N 73rd St, Suite 230, Scottsdale, AZ 85255-4153 | 2010-09-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417427865 | Inpatient Health LLC | Internal Medicine | 17470 Pacesetter Way, Scottsdale, AZ 85255 | 2018-11-28 |
| 1003391764 | Daniel Andrew Wool | Family Medicine | 20801 N Scottsdale Rd Suite 205, Scottsdale, AZ 85255 | 2018-09-28 |
| 1225533953 | Nona Lynel Dasenbrock | Dietitian, Registered | 10912 E Butherus Dr, Scottsdale, AZ 85255 | 2018-03-26 |
| 1376044248 | Brandon A Hunter | Physician Assistant | 17300 N Perimeter Dr, Ste 150, Scottsdale, AZ 85255 | 2018-02-26 |
| 1235644048 | Harmony Dental Partners, LLC | Dentist | 21809 N. Scottsdale Rd., Suite C105, Scottsdale, AZ 85255 | 2017-12-04 |
| 1093226698 | Brenda Renee Junior | Family Medicine | 7920 E Thompson Peak Pkwy Ste 100, Scottsdale, AZ 85255 | 2017-10-23 |
| 1740790393 | Sanus Dme LLC | Durable Medical Equipment & Medical Supplies | 17300 N Perimeter Dr, Ste 150, Scottsdale, AZ 85255 | 2017-10-10 |
| 1235651894 | Jill Walker | Physical Therapist | 7900 E. Princess, Apt. 1063, Scottsdale, AZ 85255 | 2017-07-14 |
| 1780123000 | Mcdowell Smile Life Dentistry LLC | Dentist | 10401 E. Mcdowell Mountain Ranch Rd Ste 130, Scottsdale, AZ 85255 | 2017-02-20 |
| 1942691779 | Gregory Edin | Dentist | 11550 E Paradise Lane, Scottsdale, AZ 85255 | 2015-02-16 |
| Find all providers in zip 85255 | ||||
| Taxonomy Code | 207XS0114X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Adult Reconstructive Orthopaedic Surgery |
| Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, adult reconstructive orthopaedic surgeons deal with reconstructive procedures such as joint arthroplasty (i.e., hip and knee), osteotomy, arthroscopy, soft-tissue reconstruction, and a variety of other adult reconstructive surgical procedures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Separate board certification is not currently offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841202678 | The Joint Replacement Center of Scottsdale | Orthopaedic Surgery | 10250 North 92nd Street, Suite 202, Scottsdale, AZ 85258-6709 | 2006-08-12 |
| 1154327815 | Stuart Craig Kozinn | Orthopaedic Surgery | 9700 N 91st St Ste A115, Scottsdale, AZ 85258-5036 | 2005-06-27 |
| 1508340209 | Orthopaedic Specialists of Scottsdale, Pllc | Orthopaedic Surgery | 20401 N 73rd St Ste 135, Scottsdale, AZ 85255-4148 | 2018-09-18 |
| 1760892483 | Gregory T Evangelista Md LLC | Orthopaedic Surgery | 3271 N Civic Center Plz Ste 110, Scottsdale, AZ 85251-6990 | 2014-05-02 |
| 1891139283 | Simon William Young | Orthopaedic Surgery | 13400 E Shea Blvd, Scottsdale, AZ 85259-5452 | 2013-04-29 |
| 1821295015 | Janet E Whirlow, Md, Pllc | Orthopaedic Surgery | 9097 E Desert Cove Ave Ste 100, Scottsdale, AZ 85260 | 2007-06-29 |
| 1689654790 | Theodore Phillip Firestone | Orthopaedic Surgery | 20401 N 73rd St, Ste 160, Scottsdale, AZ 85255 | 2006-01-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114172251 | James Alan Rand | Orthopaedic Surgery | 6621 E Ironwood Dr, Paradise Valley, AZ 85253-2621 | 2008-11-17 |
| 1275729345 | Dan H Heller | Orthopaedic Surgery | 9327 N 3rd St Ste 101, Phoenix, AZ 85020-2471 | 2007-09-21 |
| 1609901057 | Salvatore G Lacognata | Orthopaedic Surgery | 3941 E Baseline Rd Ste 102, Gilbert, AZ 85234-2750 | 2007-02-23 |
| 1285781401 | Doug Steven Clouse | Orthopaedic Surgery | 3530 S Val Vista Dr Ste B105, Gilbert, AZ 85297-7318 | 2007-01-03 |
| 1396716262 | Brent Paul Hansen | Orthopaedic Surgery | 6320 W Union Hills Dr Ste 1800, Glendale, AZ 85308-1372 | 2006-01-30 |
| 1760811988 | James Anthony St. Ville | Orthopaedic Surgery | 2500 N 24th St, Phoenix, AZ 85008-1842 | 2013-11-07 |
| 1538500046 | Joseph M Janzer, Do PC | Orthopaedic Surgery | 12361 W Bola Dr, Surprise, AZ 85378-9021 | 2013-07-12 |
| 1962841742 | The Ortho Joint of Arizona, LLC | Orthopaedic Surgery | 12361 W Bola Dr, #100, Surprise, AZ 85378-9021 | 2013-06-14 |
| 1639516255 | Gregory Maxwell Gosey | Orthopaedic Surgery | 1609 N Warren Ave, Tucson, AZ 85719-3761 | 2013-05-23 |
| 1093066193 | E Michael Lucero, Md PC | Orthopaedic Surgery | 2222 E Highland Ave, Suite 425, Phoenix, AZ 85016-4872 | 2012-09-28 |
| Find all providers with the same taxonomy | ||||
| City | SCOTTSDALE |
| Zip Code | 85255 |
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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.