OMEGA ORTHOPAEDICS, INC (NPI# 1881810844) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881810844 |
| Entity Type | Organization |
| Organization Name | OMEGA ORTHOPAEDICS, INC |
| Practice Address |
203 S. Candy Lane Suite 4b Cottonwood AZ 86326-8107 |
| Practice Telephone | 9286340123 |
| Practice Fax Number | 9286340123 |
| Mailing Telephone | 9286340123 |
| Mailing Fax Number | 9286340123 |
| Enumeration Date | 2007-04-18 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. THOMAS JOSEPH PETERS (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 9286340123 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207XX0801X |
Orthopaedic Surgery Specialization: Orthopaedic Trauma |
09582 | AZ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 203943 | 05 | |
| AZ | BCBSAZ | AZ0008170 | 01 |
| Street Address |
203 S. CANDY LANE SUITE 4B |
| City | COTTONWOOD |
| State | AZ |
| Zip Code | 86326-8107 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679954895 | Isabelle Maisse Griffith | Pharmacist | 1100 E Highway 89a, Cottonwood, AZ 86326 | 2015-06-12 |
| 1184982266 | Northern Arizona Healthcare Provider Group, LLC | Family Medicine | 450 South Willard Street, Cottonwood, AZ 86326 | 2012-04-26 |
| 1922391663 | Ronald D. Carsrud | Hearing Instrument Specialist | 657 E Cottonwood St., Ste 6c, Cottonwood, AZ 86326 | 2011-05-26 |
| 1760712749 | Chuck Thomas Calvano | Pharmacist | 550 S Main, Cottonwood, AZ 86326 | 2010-01-13 |
| 1528231438 | Elizabeth Lightner Mccarrell | Emergency Medicine | 269 S Candy Lane, Cottonwood, AZ 86326 | 2008-04-11 |
| 1972783355 | The Wick Home for Emotional Growth and Recovery | Residential Treatment Facility, Emotionally Disturbed Children | 2102 E Fir St, Cottonwood, AZ 86326 | 2007-11-14 |
| 1750560165 | David T Sayle | Nurse Practitioner | 800 Cove Parkway, Cottonwood, AZ 86326 | 2007-11-01 |
| 1003001033 | Country Care Inc | Assisted Living Facility | 3980 E Cassie Lane, Cottonwood, AZ 86326 | 2007-09-12 |
| 1154527778 | Laurel A Mueller | Family Medicine | 51 Brian Mickelsen Pkwy, Community Health Center of Yavapai, Cottonwood, AZ 86326 | 2007-06-21 |
| 1841401700 | Bruce Alan Moseng | Chiropractor | 240 Jennifer Lane, Ste 103, Cottonwood, AZ 86326 | 2007-05-24 |
| Find all providers in zip 86326 | ||||
| Taxonomy Code | 207XX0801X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Orthopaedic Trauma |
| Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic trauma surgeons deal with the evaluation and management of acute orthopaedic injuries, evaluation and treatment of post-traumatic deformities and nonunions, acute and delayed reconstruction of pelvic and acetabular fractures, as well as osteotomy in the adult hip for treatment of hip arthritis. |
| 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 |
|---|---|---|---|---|
| 1902097587 | Eli A Swanson | Orthopaedic Surgery | 2525 E. Roosevelt St, Ortho Clinic On 3rd Floor, Phoenix, AZ 85008 | 2007-08-07 |
| 1164491031 | Gregory Thomas Evangelista | Orthopaedic Surgery | 3271 N Civic Center Plz Ste 110, Scottsdale, AZ 85251-6990 | 2006-03-14 |
| 1548265606 | Anthony S Rhorer | Orthopaedic Surgery | 3126 N Civic Center Plz, Scottsdale, AZ 85251-6912 | 2005-06-16 |
| 1407200454 | Precision Foot and Ankle Services | Orthopaedic Surgery | 6036 N 19th Ave, Suite 204, Phoenix, AZ 85015-2106 | 2016-04-15 |
| 1356683924 | Ammar Karim | Orthopaedic Surgery | 485 S Dobson Rd Ste 110, Chandler, AZ 85224-5600 | 2013-03-21 |
| 1174844138 | Brandon Clark | Orthopaedic Surgery | 107 E Oak Ave, Flagstaff, AZ 86001 | 2010-06-14 |
| 1891011961 | Heather Woodin Cole | Orthopaedic Surgery | 3126 N Civic Center Plz, Scottsdale, AZ 85251-6912 | 2010-04-14 |
| 1275858102 | Adam Keith Lee | Orthopaedic Surgery | 500 W Thomas Rd Ste 800, Phoenix, AZ 85013-4217 | 2010-04-04 |
| 1811212236 | Austin Mcphilamy | Orthopaedic Surgery | 18444 N 25th Ave Ste 210, Phoenix, AZ 85023-1264 | 2010-03-29 |
| 1649439621 | Thomas Christopher Fishler | Orthopaedic Surgery | 3126 N Civic Center Plz, Scottsdale, AZ 85251-6912 | 2008-06-05 |
| Find all providers with the same taxonomy | ||||
| City | COTTONWOOD |
| Zip Code | 86326 |
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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.