MEDICARE: AZ ORTHOPEDICS LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207X00000X	Orthopaedic Surgery Physician

General Provider Information

NPI Number	:	1093437246
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AZ ORTHOPEDICS LLC

Provider Business Mailing Address
First Line	:	PO BOX 33727
Second Line	:
City	:	BELFAST
State	:	ME
Zip	:	04915-0615
Country	:	US
Telephone Number	:	480-697-4824
Fax Number	:	480-697-4825

Provider Business Practice Location Address
First Line	:	10290 N 92ND ST STE 101
Second Line	:
City	:	SCOTTSDALE
State	:	AZ
Zip	:	85258-4508
Country	:	US
Telephone Number	:	480-697-4824
Fax Number	:	480-697-4825

Authorized Official
Title or Position	:	PRACTICE ADMINISTRATOR
Name	:	ALICIA RASCHILLO
Credential	:
Telephone Number	:	623-337-7597

Provider Enumeration Date	:	09/14/2022
Last Update Date	:	09/05/2025

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Directions to “AZ ORTHOPEDICS LLC ” Practice Location

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