CANYON ORTHOPAEDIC SURGEONS (NPI# 1982700720) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982700720 |
| Entity Type | Organization |
| Organization Name | CANYON ORTHOPAEDIC SURGEONS |
| Other Organization Name | CANYON ORTHOPAEDIC SURGEONS |
| Practice Address |
10450 W Mcdowell Rd Ste 102 Avondale AZ 85392 |
| Mailing Address |
10450 W Mcdowell Rd Suite 102 Avondale AZ 85392-4802 |
| Practice Telephone | 6238467614 |
| Practice Fax Number | 6238484738 |
| Mailing Telephone | 6238467614 |
| Mailing Fax Number | 6238460993 |
| Enumeration Date | 2006-09-16 |
| Last Update Date | 2011-08-04 |
| Authorized Official Name | MRS. JOANNA L POINDEXTER III (ASSISTANT PRACTICE MANAGER) |
| Authorized Official Telephone | 6238467614 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207X00000X | Orthopaedic Surgery | Allopathic & Osteopathic Physicians | ||
| N | 207XS0114X |
Orthopaedic Surgery Specialization: Adult Reconstructive Orthopaedic Surgery |
Allopathic & Osteopathic Physicians | ||
| N | 207XX0005X |
Orthopaedic Surgery Specialization: Sports Medicine |
Allopathic & Osteopathic Physicians | ||
| Y | 207XS0106X |
Orthopaedic Surgery Specialization: Hand Surgery |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | MEDICARE DMERC (AV) | 0692950001 | 01 |
| AZ | EFF 5/1/2010, OSNA GROUP PTAN | Z136714 | 01 |
| AZ | AS OF 5/1/2010, CANYON/OSNA DIVISION NPI | 1770805590 | 01 |
| AZ | EFF 5/1/2010, OSNA GROUP NPI | 1770812828 | 01 |
| AZ | CANYON GROUP NPI PRIOR TO 5/1/2010 | 1982700720 | 01 |
| Other Name | Type Code |
|---|---|
| CANYON ORTHOPAEDIC SURGEONS | Other Name - Individual/Organization |
| Street Address |
10450 W MCDOWELL RD STE 102 |
| City | AVONDALE |
| State | AZ |
| Zip Code | 85392 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508859844 | J F James Davidson | Orthopaedic Surgery | 10450 W Mcdowell Rd, Ste 102, Avondale, AZ 85392-4802 | 2005-08-23 |
| 1346606241 | G&k Medical Associates, P.C. | Clinic/Center | 10450 W Mcdowell Rd, Avondale, AZ 85392-4901 | 2016-01-07 |
| 1811353865 | April Mcewan | Clinical Nurse Specialist | 10450 W Mcdowell Rd, Suite 101, Avondale, AZ 85392-4901 | 2016-01-06 |
| 1770805590 | Orthopedic Specialists of North America, Pllc | Orthopaedic Surgery | 10450 W Mcdowell Rd, Suite 102, Avondale, AZ 85392-4901 | 2010-02-20 |
| 1861663593 | Parisa Morris | Orthopaedic Surgery | 10450 W Mcdowell Rd, Suite 102, Avondale, AZ 85392-4901 | 2008-03-20 |
| 1629289517 | Vishal Ataish Ganesh | Specialist | 10450 W Mcdowell Rd, Ste 102, Avondale, AZ 85392-4901 | 2007-05-24 |
| 1114142445 | Cheryl S Nelson | Occupational Therapist | 10450 W Mcdowell Rd, Ste 102, Avondale, AZ 85392-4802 | 2007-04-13 |
| 1346365103 | Marc Lee Charbonneau | Physical Therapist | 10450 W Mcdowell Rd, Ste 102, Avondale, AZ 85392-4901 | 2007-03-20 |
| 1316057060 | Jonathan E Greene | Physical Therapist | 10450 W Mcdowell Rd, Ste 102, Avondale, AZ 85392-4901 | 2006-08-30 |
| 1336186543 | Ravi Bhushan Galhotra | Internal Medicine | 10450 W Mcdowell Rd, Suite 101, Avondale, AZ 85392-4802 | 2006-05-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972100063 | Arizona Imaging Center, LLC | Radiology | 10825 W Mcdowell Rd Suite 130, Avondale, AZ 85392 | 2020-10-02 |
| 1376159053 | Quick Med Center LLC | Clinic/Center | 10825 W Mcdowell Rd Suite 100, Avondale, AZ 85392 | 2020-09-18 |
| 1225641046 | Ambulatory Surgery Centers, LLC | Clinic/Center | 10825 W Mcdowell Rd Suite 110, Avondale, AZ 85392 | 2020-08-31 |
| 1144842394 | National Cardiovascular Surgery Center, LLC | Clinic/Center | 10825 W Mcdowell Rd, Suite 310, Avondale, AZ 85392 | 2020-05-11 |
| 1073077145 | Lakeview Dentistry P.C., Inc. | Dentist | 10750 W. Mcdowell Road, Bldg. D410, Avondale, AZ 85392 | 2019-01-23 |
| 1699249458 | Elaine Van De Wille | Student in an Organized Health Care Education/Training Program | 3609 N 109th Ave, Avondale, AZ 85392 | 2019-01-15 |
| 1750890075 | West Valley Pediatrics | Nurse Practitioner | 10750 West Mcdowell Rd, Suite G700, Avondale, AZ 85392 | 2017-09-29 |
| 1336675305 | Hope-ann Kamler | Licensed Practical Nurse | 2150 North Santa Fe Blvd, Avondale, AZ 85392 | 2017-05-11 |
| 1790237527 | Visionworks, Inc | Eyewear Supplier (Equipment, not the service) | 10285 West Mcdowell Rd, Ste A-102, Avondale, AZ 85392 | 2016-10-27 |
| 1063969137 | Lorri Ward | Registered Nurse | 12750 W Coronado Rd, Avondale, AZ 85392 | 2016-09-07 |
| Find all providers in zip 85392 | ||||
| Taxonomy Code | 207XS0106X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Hand Surgery |
| An orthopaedic surgeon trained in the investigation, preservation and restoration by medical, surgical and rehabilitative means of all structures of the upper extremity directly affecting the form and function of the hand and wrist. |
| 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 |
|---|---|---|---|---|
| 1770805590 | Orthopedic Specialists of North America, Pllc | Orthopaedic Surgery | 10450 W Mcdowell Rd, Suite 102, Avondale, AZ 85392-4901 | 2010-02-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609420702 | Orthopedic Specialists of North America Pllc | Orthopaedic Surgery | 10250 N 92nd St Ste 308, Scottsdale, AZ 85258-4520 | 2019-07-26 |
| 1437569787 | Orthopedic Specialists of North America, Pllc | Orthopaedic Surgery | 20333 N 19th Ave, Suite 230, Phoenix, AZ 85027-3600 | 2014-05-07 |
| 1255741500 | Osna Pllc | Orthopaedic Surgery | 21231 E. Ocotillo Rd., Suite 134, Queen Creek, AZ 85142-5995 | 2014-05-07 |
| 1982942579 | Hand & Upper Extremity Specialists, P.C. | Orthopaedic Surgery | 10250 N 92nd St Ste 110, Scottsdale, AZ 85258-4518 | 2013-01-16 |
| 1225350044 | Orthopedic Specialists of North America, Pllc | Orthopaedic Surgery | 3530 W Val Vista Dr, Ste B105, Gilbert, AZ 85297-7318 | 2010-02-20 |
| 1770812828 | Orthopedic Specialists of North America, Pllc | Orthopaedic Surgery | 3033 N 44th St Ste 360, Phoenix, AZ 85018-7276 | 2009-12-21 |
| 1437238078 | David Allen Thull | Orthopaedic Surgery | 9220 E Mountain View Rd, Ste 102, Scottsdale, AZ 85258-5134 | 2006-11-03 |
| 1164507190 | Canyon Orthopaedic Surgeons, A Division of Osna, Pllc | Orthopaedic Surgery | 6760 W Thunderbird Rd, Ste E110, Peoria, AZ 85381-5048 | 2006-10-26 |
| 1053365528 | Leonard Bodell | Orthopaedic Surgery | 370 E Virginia Ave Ste 100, Phoenix, AZ 85004-1254 | 2006-05-20 |
| 1679563167 | Douglas A Bobb | Orthopaedic Surgery | 15830 N 35th Ave, Phoenix, AZ 85053-7640 | 2005-10-25 |
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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.