PHYSICIAN GROUP OF ARIZONA INC (NPI# 1467092130) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467092130 |
| Entity Type | Organization |
| Organization Name | PHYSICIAN GROUP OF ARIZONA INC |
| Other Organization Name | STEWARD ORTHOPEDIC AND SPORTS MEDICINE |
| Practice Address |
1492 S Mill Ave Suite 113 Tempe AZ 85281-5660 |
| Mailing Address |
1900 N Pearl Street Suite 2400 Dallas TX 75201-2470 |
| Practice Telephone | 6025533113 |
| Mailing Telephone | 4693418800 |
| Enumeration Date | 2020-01-10 |
| Last Update Date | 2020-04-01 |
| Authorized Official Name | MICHELLE DINSDALE (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 6027977070 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Steward Orthopedic and Sports Medicine | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902462179 | Physician Group of Arizona Inc | Specialist | 4801 E Washington St Ste 200, Phoenix, AZ 85034-2019 | 2019-05-14 |
| 1487294096 | Physician Group of Arizona Inc | Orthopaedic Surgery | 10301 N 92nd St, Suite B 201, Scottsdale, AZ 85258-4511 | 2020-01-11 |
| 1932749546 | Physician Group of Arizona Inc | Orthopaedic Surgery | 10238 E Hampton Ave, Suite 301-a, Mesa, AZ 85209-3322 | 2020-01-11 |
| 1992345664 | Physician Group of Arizona Inc | Orthopaedic Surgery | 7727 W Deer Valley Rd, Suite 210, Peoria, AZ 85382-2120 | 2020-01-10 |
| 1558901215 | Physician Group of Arizona Inc | Orthopaedic Surgery | 2122 E Highland Ave, Suite 300, Phoenix, AZ 85016-4744 | 2020-01-10 |
| 1851957195 | Physician Group of Arizona Inc | Podiatrist | 1620 S Stapley Dr Ste 132, Mesa, AZ 85204-6655 | 2019-05-13 |
| 1174091698 | Physician Group of Arizona Inc | Emergency Medicine | 1800 E Van Buren St, Phoenix, AZ 85006-3742 | 2018-11-02 |
| 1518137520 | Physician Group of Arizona Inc | Specialist | 4801 E Washington St, Suite 200, Phoenix, AZ 85034-2004 | 2008-03-05 |
| Street Address |
1492 S MILL AVE SUITE 113 |
| City | TEMPE |
| State | AZ |
| Zip Code | 85281-5660 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801899448 | Patricia Gail Romo | Midwife | 1492 S Mill Ave, Suite 306, Tempe, AZ 85281-5652 | 2005-05-27 |
| 1972047066 | Renee Williams | Specialist/Technologist | 1492 S Mill Ave, Tempe, AZ 85281-5652 | 2016-12-08 |
| 1346783354 | Alexis King | Specialist/Technologist | 1492 S Mill Ave, Suite 113, Tempe, AZ 85281-5652 | 2016-11-22 |
| 1912367038 | Justin Chappell | Physical Therapist | 1492 S Mill Ave, 211, Tempe, AZ 85281-5652 | 2016-03-02 |
| 1962874446 | Danica Bennett | Physician Assistant | 1492 S Mill Ave, #113, Tempe, AZ 85281-5652 | 2015-10-23 |
| 1124497011 | Kirsten Wassum | Dietitian, Registered | 1492 S Mill Ave, Suite 312, Tempe, AZ 85281-5652 | 2015-09-21 |
| 1154754216 | Marshall Hiller | Physical Therapist | 1492 S Mill Ave, Suite 211, Tempe, AZ 85281-5652 | 2013-08-13 |
| 1760721161 | Bernadine R Miu | Nurse Practitioner | 1492 S Mill Ave, Suite 312, Tempe, AZ 85281-5652 | 2013-02-05 |
| 1033482823 | Crystal Monique Fix | Specialist/Technologist | 1492 S Mill Ave, Suite 113, Tempe, AZ 85281-5652 | 2012-02-09 |
| 1568746139 | Leila Miller | Physician Assistant | 1492 S Mill Ave, Suite 301, Tempe, AZ 85281-5652 | 2011-09-30 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942807052 | Thomas Langer | Specialist/Technologist | 1317 S Terrace Rd, Box #156, Tempe, AZ 85281 | 2020-10-02 |
| 1073124525 | Cinthia Guadalupe Arredondo Paramo | Nurse Practitioner | 1840 W. Broadway Rd., Tempe, AZ 85281 | 2020-08-10 |
| 1780219451 | Margaret Corbett | Specialist/Technologist | 500 East Veterans Way, Tempe, AZ 85281 | 2020-03-03 |
| 1457990913 | Renee Marie Rundle | Nurse Practitioner | 1750 E. University, Tempe, AZ 85281 | 2020-01-02 |
| 1265904932 | Halah Alateeq | Speech-Language Pathologist | Asu Speech & Hearing Clinic 975 S Myrtle Ave, Tempe, AZ 85281 | 2018-12-19 |
| 1962980961 | Calvin Wah Ngo | Dentist | 555 N. College Avenue, Apr 4018, Tempe, AZ 85281 | 2018-08-01 |
| 1922501840 | Sydney Blankenship | Physical Therapist | 260 E Rio Salado Pkwy, Apt 2045, Tempe, AZ 85281 | 2018-03-16 |
| 1609376698 | Agnes' Centers for Domestic Solutions | Community/Behavioral Health | 455 S 48th Street, 106, Tempe, AZ 85281 | 2018-02-15 |
| 1053826636 | Marta Solano | Nurse Practitioner | 415 S 48th St Ste 107, Tempe, AZ 85281 | 2017-12-05 |
| 1578085551 | Invitro Genetics Arizona | Clinical Medical Laboratory | 437 S. 48th Street, Suite 106, Tempe, AZ 85281 | 2017-07-12 |
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| 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 |
|---|---|---|---|---|
| 1780163030 | Larry J. Sanders, M.d., Pllc. | Orthopaedic Surgery | 8235 S Pecan Grove Cir, Tempe, AZ 85284-2311 | 2018-08-08 |
| 1033444070 | Gary Louis Busenkell | Orthopaedic Surgery | 2088 E Ranch Rd, Tempe, AZ 85284-3517 | 2009-10-08 |
| 1992937189 | Michael John Sumko | Orthopaedic Surgery | 1492 S Mill Ave Ste 113, Tempe, AZ 85281-5660 | 2009-08-20 |
| 1952531022 | Robert Waldrop IIi | Orthopaedic Surgery | 1255 W Rio Salado Pkwy, Suite 107, Tempe, AZ 85281-2816 | 2009-07-22 |
| 1619093192 | The Orthopedic Clinic Association PC | Orthopaedic Surgery | 1492 S Mill, Suite 113, Tempe, AZ 85281 | 2007-03-22 |
| 1508910944 | Adam Jason Farber | Orthopaedic Surgery | 1215 W Rio Salado Pkwy, Suite 105, Tempe, AZ 85281-2891 | 2007-01-23 |
| 1043261720 | Arizona Orthopedic & Spine Center PC | Orthopaedic Surgery | 5125 S Rural Rd, Tempe, AZ 85282-7008 | 2006-05-15 |
| 1659995249 | Toca At Banner Health LLC | Orthopaedic Surgery | 5002 S Mill Ave, Tempe, AZ 85282-6828 | 2020-05-30 |
| 1780952259 | Douglas A Clark Md PC | Orthopaedic Surgery | 2055 E Southern Ave, Suite G, Tempe, AZ 85282-7507 | 2011-12-12 |
| 1962788331 | A-1 Orthopedic, LLC | Orthopaedic Surgery | 2501 E Southern Ave, Suite 1, Tempe, AZ 85282-7669 | 2011-10-28 |
| Find all providers in TEMPE | ||||
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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.