NPI Code Details Logo

NPI 1053633875

NPI 1053633875 : ORTHOPEDIC SPECIALISTS OF NORTH AMERICA, PLLC : SCOTTSDALE, AZ

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1053633875
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    ORTHOPEDIC SPECIALISTS OF NORTH AMERICA, PLLC 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    02/20/2010
-----------------------------------------------------
    Last Update Date     |    11/13/2025
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    10213 N 92ND ST SUITE 101
-----------------------------------------------------
    City                 |    SCOTTSDALE
-----------------------------------------------------
    State                |    AZ
-----------------------------------------------------
    Zip                  |    85258-4561
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    480-860-6005
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    PO BOX 80217 
-----------------------------------------------------
    City                 |    PHOENIX
-----------------------------------------------------
    State                |    AZ
-----------------------------------------------------
    Zip                  |    85060-0217
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    602-385-2115
-----------------------------------------------------
    Fax                  |    480-418-3323
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    AUTHORIZED OFFICIAL
-----------------------------------------------------
    Name                 |     RAJAN  BHATT 
-----------------------------------------------------
    Credential           |    MD
-----------------------------------------------------
    Telephone            |    602-602-3115
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    208100000X
-----------------------------------------------------
    Taxonomy Name        |    Physical Medicine & Rehabilitation Physician
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
    Taxonomy Code        |    207XS0106X
-----------------------------------------------------
    Taxonomy Name        |    Orthopaedic Hand Surgery Physician
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #3
-----------------------------------------------------
    Taxonomy Code        |    207X00000X
-----------------------------------------------------
    Taxonomy Name        |    Orthopaedic Surgery Physician
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------



                        

Copyright © 2007-2025 Data Labs Health. All rights reserved.