THE ORTHO JOINT OF ARIZONA, LLC (NPI# 1962841742) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962841742 |
| Entity Type | Organization |
| Organization Name | THE ORTHO JOINT OF ARIZONA, LLC |
| Practice Address |
12361 W Bola Dr #100 Surprise AZ 85378-9021 |
| Mailing Address |
Po Box 1149 Peoria AZ 85380 |
| Practice Telephone | 6235845626 |
| Mailing Telephone | 6235832073 |
| Enumeration Date | 2013-06-14 |
| Last Update Date | 2013-06-17 |
| Authorized Official Name | AUDREY TSAO (PROVIDER) |
| Authorized Official Telephone | 6235832073 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207XS0114X |
Orthopaedic Surgery Specialization: Adult Reconstructive Orthopaedic Surgery |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | PENDING | 05 |
| Street Address |
12361 W BOLA DR #100 |
| City | SURPRISE |
| State | AZ |
| Zip Code | 85378-9021 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912990094 | Robert C Waldrip | Orthopaedic Surgery | 12361 W Bola Dr, Suite 100, Surprise, AZ 85378-9021 | 2005-08-24 |
| 1255817847 | Atlantis Cardiac & Vascular Center of Surprise, LLC | Surgery | 12361 W Bola Dr, Surprise, AZ 85378-9021 | 2018-07-17 |
| 1417497066 | Nicole Barth | Nurse Practitioner | 12361 W Bola Dr, Suite 109, Surprise, AZ 85378-9021 | 2017-03-01 |
| 1881132314 | Laurel Sockrider | Nurse Practitioner | 12361 W Bola Dr, Suite 109, Surprise, AZ 85378-9021 | 2017-02-04 |
| 1598125791 | Raghav LLC | Psychiatry & Neurology | 12361 W Bola Dr, Ste 109, Surprise, AZ 85378-9021 | 2016-03-01 |
| 1528496411 | Travis S Jensen Dpm PC | Podiatrist | 12361 W Bola Dr, Surprise, AZ 85378-9021 | 2013-10-31 |
| 1538500046 | Joseph M Janzer, Do PC | Orthopaedic Surgery | 12361 W Bola Dr, Surprise, AZ 85378-9021 | 2013-07-12 |
| 1457792962 | Lawrence Kelly, Md PC | Orthopaedic Surgery | 12361 W Bola Dr, Surprise, AZ 85378-9021 | 2013-07-12 |
| 1538429121 | Sr Billing | Anesthesiology | 12361 W Bola Dr, Suite 109, Surprise, AZ 85378 | 2012-05-17 |
| 1417215377 | Orthopedic Specialists of North America, Pllc | Orthopaedic Surgery | 12361 W Bola Dr, Ste 100, Surprise, AZ 85378-9021 | 2012-04-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467947101 | Destiny Springs Healthcare, LLC | Psychiatric Hospital | 17300 N. Dysart Road, Surprise, AZ 85378 | 2018-06-26 |
| 1881013480 | Amanda Brimlow | Specialist | 12425 West Bell Rd, Suite 200, Surprise, AZ 85378 | 2014-04-10 |
| 1598193104 | Kalin Marie Harding | Nurse Practitioner | 12425 W. Bell Rd., Suite 106, Suprise, AZ 85378 | 2013-10-16 |
| 1043651540 | Rachel Sara Herrin | Internal Medicine | 12665 W. Smokey Dr., #140, Surprise, AZ 85378 | 2013-07-12 |
| 1962756528 | Daniel Allen Dryer | Registered Nurse | 11607 W. Mingus Mt. Ct., Surprise, AZ 85378 | 2012-11-05 |
| 1124374715 | Rabeca Vatamaniuc | Home Health Aide | 11151 W Lily Mckinley Dr, Surprise, AZ 85378 | 2012-08-01 |
| 1710073457 | Arizona's Children Association | Clinic/Center | 11321 West Bell Road, Suite 401, Surprise, AZ 85378 | 2006-10-04 |
| 1457515579 | Madhuri Dhupati & Associates Md PC. | Clinic/Center | 12647 W Smokey Dr Ste 119, Surprise, AZ 85378 | 2008-07-17 |
| 1205267119 | Post-acute Physicians of Arizona Pllc | Physical Medicine & Rehabilitation | 13060 W Bell Rd, Surprise, AZ 85378-1200 | 2013-12-02 |
| 1679954002 | Cobalt Rehabilitation Hospital Iv, LLC | Rehabilitation Hospital | 13060 W Bell Rd, Surprise, AZ 85378-1200 | 2015-06-11 |
| Find all providers in zip 85378 | ||||
| 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 |
|---|---|---|---|---|
| 1538500046 | Joseph M Janzer, Do PC | Orthopaedic Surgery | 12361 W Bola Dr, Surprise, AZ 85378-9021 | 2013-07-12 |
| 1346338043 | Joseph Michael Janzer | Orthopaedic Surgery | 12361 W Bola Dr, Ste 100, Surprise, AZ 85378-9019 | 2006-10-10 |
| 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 |
| 1841202678 | The Joint Replacement Center of Scottsdale | Orthopaedic Surgery | 10250 North 92nd Street, Suite 202, Scottsdale, AZ 85258-6709 | 2006-08-12 |
| 1396716262 | Brent Paul Hansen | Orthopaedic Surgery | 6320 W Union Hills Dr Ste 1800, Glendale, AZ 85308-1372 | 2006-01-30 |
| 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 |
| 1629439005 | Greater Phoenix Orthopedics | Orthopaedic Surgery | 20401 N 73rd St, Suite 155, Scottsdale, AZ 85255-4107 | 2016-03-14 |
| 1760892483 | Gregory T Evangelista Md LLC | Orthopaedic Surgery | 3271 N Civic Center Plz Ste 110, Scottsdale, AZ 85251-6990 | 2014-05-02 |
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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.