ORTHOPAEDIC SURGICAL CONCIERGE LLC (NPI# 1467812552) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467812552 |
| Entity Type | Organization |
| Organization Name | ORTHOPAEDIC SURGICAL CONCIERGE LLC |
| Practice Address |
2222 E Highland Ave Ste 425 Phoenix AZ 85016-4872 |
| Mailing Address |
2711 Centerville Rd Ste 300, Pmb #573 Wilmington DE 19808-1660 |
| Practice Telephone | 4808652145 |
| Mailing Telephone | 4808652145 |
| Enumeration Date | 2016-03-02 |
| Last Update Date | 2016-09-01 |
| Authorized Official Name | DR. ANGELO MATTALINO (MANAGER/PRESIDENT) |
| Authorized Official Telephone | 4808652145 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | MEDICAL LICENSE | 17728 | 01 |
| Street Address |
2222 E HIGHLAND AVE STE 425 |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85016-4872 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043215684 | Jon H Whisler | Orthopaedic Surgery | 2222 E Highland Ave, Ste 300, Phoenix, AZ 85016-4872 | 2005-06-20 |
| 1265976229 | Physician Owned Surgery Center of Scottsdale | Clinic/Center | 2222 E Highland Ave, Suite 101, Phoenix, AZ 85016-4872 | 2016-12-10 |
| 1942753363 | Casandra Smith | Physician Assistant | 2222 E Highland Ave, Suite 300, Phoenix, AZ 85016-4872 | 2016-08-02 |
| 1063965580 | Harrison Williams | Physical Therapist | 2222 E Highland Ave, Suite 200, Phoenix, AZ 85016-4872 | 2016-08-02 |
| 1891167086 | Christopher Pyper | Physician Assistant | 2222 E Highland Ave, Suite 300, Phoenix, AZ 85016-4872 | 2015-10-27 |
| 1225408453 | Arizona Orthopaedic Group Pllc | Orthopaedic Surgery | 2222 E Highland Ave, Suite 203, Phoenix, AZ 85016-4872 | 2015-09-30 |
| 1043602931 | Jonathan Seidberg | Physical Therapist | 2222 E Highland Ave, Suite 200, Phoenix, AZ 85016-4872 | 2015-03-02 |
| 1114319670 | Andrew Gibson | Physical Therapist | 2222 E Highland Ave, 300, Phoenix, AZ 85016-4872 | 2015-02-20 |
| 1841682309 | Mattalino Orthopaedic Sports Surgical Specialists, LLC | Orthopaedic Surgery | 2222 E Highland Ave, Suite 425, Phoenix, AZ 85016-4872 | 2015-02-20 |
| 1992103154 | Jordana L Rodeheaver | Nurse Practitioner | 2222 E Highland Ave, Ste. # 400, Phoenix, AZ 85016-4872 | 2014-12-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851992705 | Heatheranne Baker-oldfield | Counselor | 2415 E Camelback Rd Ste 700, Phoenix, AZ 85016 | 2020-11-06 |
| 1780215681 | Sip Home Systems - Mesa LLC | Home Health | 24th At Camelback, 2375 E. Camelback Rd., Suite 600, Phoenix, AZ 85016 | 2020-01-29 |
| 1760945588 | Wei Wei | Student in an Organized Health Care Education/Training Program | Phoenix Children's Hospital 1919 E. Thomas Rd., Phoenix, AZ 85016 | 2019-04-09 |
| 1942765623 | Grace Hatfield | Dietitian, Registered | Phoenix Childrens Hospital 1919 E Thomas Rd, Phoenix, AZ 85016 | 2019-02-06 |
| 1861977027 | Dawn Yvette Lima | Occupational Therapy Assistant | 3128 E Cheery Ln, Phoenix, AZ 85016 | 2018-10-03 |
| 1720583685 | Kristin Pauline Hicklin | Registered Nurse | 2930 E Camelback Rd Ste 100, Phoenix, AZ 85016 | 2018-03-24 |
| 1588181622 | Taness Eyre Billington | Pharmacist | 1625 E. Camelback Rd., Phoenix, AZ 85016 | 2017-08-29 |
| 1093239048 | Emma Ross | Psychologist | 1919 E Thomas Rd Bldg 4th, Phoenix, AZ 85016 | 2017-08-01 |
| 1609396985 | Mohammed Waseemuddin | Student in an Organized Health Care Education/Training Program | Phoenix Children's Hospital, 1919 E Thomas Rd, Phoenix, AZ 85016 | 2017-06-27 |
| 1144777632 | Amanda Mazerall | Occupational Therapist | 4333 N 24th Street, Apartment 223, Phoenix, AZ 85016 | 2016-09-01 |
| Find all providers in zip 85016 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| 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 |
| 1922517655 | Southwest Behavioral Health Services, Inc. | Specialist | 11221 N 28th Dr Bldg E, Phoenix, AZ 85029-5615 | 2017-09-26 |
| 1962936773 | Zoe Reed | Specialist | 20950 N 29th Ave, Suite 100, Phoenix, AZ 85027-3110 | 2017-04-18 |
| 1295289163 | Affiliated Therapy Services | Specialist | 4650 E Cotton Center Blvd Ste 155, Phoenix, AZ 85040-4803 | 2016-08-09 |
| 1285084400 | Jacqueline Kincer | Specialist | 4500 N 32nd St Ste 201d, Phoenix, AZ 85018-3397 | 2016-06-18 |
| 1750747218 | Hilary Caine | Specialist | 6228 W Molly Dr, Phoenix, AZ 85083-6525 | 2016-01-13 |
| 1659757268 | Armendariz Medical Associates LLC | Specialist | 3509 E Shea Blvd Ste 103, Phoenix, AZ 85028-3337 | 2015-08-05 |
| 1669877247 | Shawna Christofis | Specialist | 3940 E Goldfinch Gate Ln, Phoenix, AZ 85044-4513 | 2014-10-25 |
| 1396151890 | Michelle Rene' Reinhardt | Specialist | 11010 S Tomah St, Phoenix, AZ 85044-1914 | 2014-07-03 |
| 1518371863 | Stacy Hall Brink | Specialist | 4713 E Michigan Ave, Phoenix, AZ 85032-9517 | 2014-06-15 |
| Find all providers in PHOENIX | ||||
Please comment or provide details below to improve the information on ORTHOPAEDIC SURGICAL CONCIERGE LLC.
| 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.