ORTHOPEDIC SPECIALISTS OF NORTH AMERICA PLLC (NPI# 1265755375) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265755375 |
| Entity Type | Organization |
| Organization Name | ORTHOPEDIC SPECIALISTS OF NORTH AMERICA PLLC |
| Other Organization Name | OSNA ACTIVE ORTHOPEDIC DIVISION |
| Practice Address |
4566 E Inverness Ave Suite 108 Mesa AZ 85206-4633 |
| Mailing Address |
Po Box 271429 Salt Lake City UT 84127-1429 |
| Practice Telephone | 4808893988 |
| Mailing Telephone | 6027723800 |
| Enumeration Date | 2010-03-03 |
| Last Update Date | 2016-11-09 |
| Authorized Official Name | DR. JOHN BRADWAY (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 4808606005 |
| Authorized Official Credential | MD |
| Is Organization Subpart | Y |
| Parent Organization Name | ORTHOPEDIC SPECIALISTS OF NORTH AMERICA PLLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207XS0106X |
Orthopaedic Surgery Specialization: Hand Surgery |
Allopathic & Osteopathic Physicians | ||
| N | 208100000X | Physical Medicine & Rehabilitation | Allopathic & Osteopathic Physicians | ||
| Y | 207X00000X | Orthopaedic Surgery | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | RAILROAD MEDICARE PTAN | DQ4501 | 01 |
| Other Name | Type Code |
|---|---|
| OSNA Active Orthopedic Division | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659970242 | Orthopedic Specialists of North America Pllc | Clinic/Center | 33300 N 32nd Ave, Phoenix, AZ 85085-8877 | 2020-10-23 |
| 1689273542 | Orthopedic Specialists of North America Pllc | Clinic/Center | 33400 N 32nd Ave Fl 1, Phoenix, AZ 85085-8876 | 2020-10-21 |
| 1649809039 | Orthopedic Specialists of North America Pllc | Clinic/Center | 16838 E Palisades Blvd Ste C152, Fountain Hills, AZ 85268-3790 | 2020-04-07 |
| 1609420702 | Orthopedic Specialists of North America Pllc | Orthopaedic Surgery | 10250 N 92nd St Ste 308, Scottsdale, AZ 85258-4520 | 2019-07-26 |
| 1508337213 | Orthopedic Specialists of North America Pllc | Physical Therapist | 1675 E Melrose Street, Suites 101-103, Gilbert, AZ 85297 | 2018-12-07 |
| 1689283970 | Orthopedic Specialists of North America Pllc | Orthopaedic Surgery | 7225 W Harrison St, Chandler, AZ 85226-1513 | 2020-07-23 |
| 1164031456 | Orthopedic Specialists of North America Pllc | Orthopaedic Surgery | 9219 E Hidden Spur Trl Ste 100, Scottsdale, AZ 85255-6326 | 2020-07-23 |
| 1699336313 | Orthopedic Specialists of North America Pllc | Orthopaedic Surgery | 40601 N Gantzel Rd Ste 103, San Tan Valley, AZ 85140-7036 | 2019-06-24 |
| 1013448083 | Orthopedic Specialists of North America Pllc | Clinic/Center | 4222 E Thomas Rd, Suite 250, Phoenix, AZ 85018-7607 | 2017-03-22 |
| 1740636315 | Orthopedic Specialists of North America Pllc | Physical Medicine & Rehabilitation | 9327 N 3rd St, Suite 300, Phoenix, AZ 85020-2470 | 2016-05-12 |
| Street Address |
4566 E INVERNESS AVE SUITE 108 |
| City | MESA |
| State | AZ |
| Zip Code | 85206-4633 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215917463 | Gary Thomas Purcell | Orthopaedic Surgery | 4566 E Inverness Ave, Suite 202, Mesa, AZ 85206-4633 | 2006-01-21 |
| 1346677242 | Gateway Physical Therapy LLC | Health Maintenance Organization | 4566 E Inverness Ave, Suite 103, Mesa, AZ 85206-4633 | 2013-10-09 |
| 1396028841 | Yeon Hee Park | Acupuncturist | 4566 E Inverness Ave, Suite 201, Mesa, AZ 85206-4633 | 2011-09-21 |
| 1235427709 | Desert Spine and Scoliosis Center | Orthopaedic Surgery | 4566 E Inverness Ave, Suite 208, Mesa, AZ 85206-4633 | 2011-07-18 |
| 1255567004 | Absolute Sleep Medical | Durable Medical Equipment & Medical Supplies | 4566 E Inverness Ave, Mesa, AZ 85206-4633 | 2009-06-08 |
| 1891976569 | Desert Neurosurgery, PC | Neurological Surgery | 4566 E Inverness Ave, Ste #208, Mesa, AZ 85206 | 2007-11-21 |
| 1891901088 | Southwest Center for Neurological Surgeons PC | Specialist | 4566 E Inverness Ave, 205, Mesa, AZ 85206-4633 | 2007-05-15 |
| 1194883223 | Rafath U Baig | Orthopaedic Surgery | 4566 E Inverness Ave, Suite 208, Mesa, AZ 85206-4633 | 2006-12-04 |
| 1427154442 | Southeast Valley Obstetrics & Gynecology Plc | Obstetrics & Gynecology | 4566 E Inverness Ave, Suite 202, Mesa, AZ 85206-4633 | 2006-09-16 |
| 1770525396 | Sidney Semrad | Obstetrics & Gynecology | 4566 E Inverness Ave, #202, Mesa, AZ 85206-4634 | 2006-06-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720693062 | Inner Balance Counseling LLC | Counselor | 4111 E Auto Valley Drive, Suite 101, Mesa, AZ 85206 | 2020-09-14 |
| 1356978969 | Choices 4 Change Counseling and Coaching LLC | Social Worker | 3707 E Southern Ave., Suite 2027, Mesa, AZ 85206 | 2020-03-24 |
| 1023651288 | Jason Mcclure | Hearing Instrument Specialist | 5540 E Broadway Rd., Mesa, AZ 85206 | 2019-10-21 |
| 1255995361 | Vhs of Phoenix Inc | General Acute Care Hospital | 5750 E. Baseline Rd., Mesa, AZ 85206 | 2019-04-24 |
| 1932682184 | Adam Fishel Frose | Psychologist | 4555 E Inverness Ave Ste 112, Mesa, AZ 85206 | 2018-09-13 |
| 1376024737 | Robyn Kathleen Hall | Psychologist | 4115 East Valley Auto Drive, Suite 208, Mesa, AZ 85206 | 2018-08-23 |
| 1790264984 | Perspective Health, LLC | Clinic/Center | 1959 S. Power Rd, Suite 103, #206, Mesa, AZ 85206 | 2018-08-09 |
| 1033605159 | Rebecca Ann Maro | Nurse Practitioner | 6750 E Baywood Ave Ste 502, Mesa, AZ 85206 | 2018-07-02 |
| 1982195624 | Spark Performance and Physiotherapy | Clinic/Center | 6056 East Basline Road, Suite 147, Mesa, AZ 85206 | 2018-05-29 |
| 1336645993 | Ashley Wright | Audiologist-Hearing Aid Fitter | 1423 S Higley Rd Ste 119, Mesa, AZ 85206 | 2018-04-03 |
| Find all providers in zip 85206 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| 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 |
|---|---|---|---|---|
| 1457831059 | Arizona Arthritis and Rheumatology Associates | Orthopaedic Surgery | 2152 S Vineyard Ste 129, Mesa, AZ 85210-6882 | 2018-08-14 |
| 1992299499 | Arizona Advanced Surgical Assists LLC | Orthopaedic Surgery | 5235 E Southern Ave Ste D106-440, Mesa, AZ 85206-3626 | 2018-06-18 |
| 1548762719 | Russell D. Meldrum, M.d. Pllc | Orthopaedic Surgery | 855 W. Southern Ave., #1114, Mesa, AZ 85210 | 2018-03-05 |
| 1427318070 | Michael T Talerico | Orthopaedic Surgery | 1450 S Dobson Rd Ste B122, Mesa, AZ 85202 | 2012-05-16 |
| 1083940837 | Southwest Sports Medicine & Orthopaedic Surgery Clinic | Orthopaedic Surgery | 4566 E. Inverness Rd., Ste. 101, Mesa, AZ 85206 | 2009-10-29 |
| 1356584890 | Sw Sports Medicine & Orthopedic Surgery | Orthopaedic Surgery | 2835 E. Brown Rd., Ste. 101, Mesa, AZ 85213 | 2009-04-14 |
| 1548457203 | Stephen E. Hatfield, Do LLC | Orthopaedic Surgery | 4850 E. Baseline Road, Suite 118, Mesa, AZ 85206-0000 | 2007-09-26 |
| 1114117710 | Brian Robb Mcwhorter | Orthopaedic Surgery | 10238 E Hampton Ave Ste 301c, Mesa, AZ 85209-3322 | 2007-07-30 |
| 1649477357 | John Hunt Udall | Orthopaedic Surgery | 1432 S Dobson, Suite 304, Mesa, AZ 85202 | 2007-06-27 |
| 1417152620 | Steven L Porter Md PC | Orthopaedic Surgery | 4566 E Inverness Ave Ste 108, Mesa, AZ 85206-4633 | 2007-06-18 |
| Find all providers in MESA | ||||
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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.