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NPI Code Detail

MEDICARE: ORTHOPEDIC SPECIALISTS OF NORTH AMERICA, PLLC

MEDICARE: ORTHOPEDIC SPECIALISTS OF NORTH AMERICA, PLLC
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
1261QR0400XRehabilitation Clinic/Center
2207X00000XOrthopaedic Surgery Physician
3261QM1300XMulti-Specialty Clinic/Center

General Provider Information

NPI Number : 1164031456
Entity Type Code : Organization
Provider Name (Legal Business Name) : ORTHOPEDIC SPECIALISTS OF NORTH AMERICA, PLLC
Provider Business Mailing Address
First Line : PO BOX 80217
Second Line :
City : PHOENIX
State : AZ
Zip : 85060-0217
Country : US
Telephone Number : 602-385-2115
Fax Number : 480-418-3323
Provider Business Practice Location Address
First Line : 9219 E HIDDEN SPUR TRL STE 100
Second Line :
City : SCOTTSDALE
State : AZ
Zip : 85255-6708
Country : US
Telephone Number : 480-585-6810
Fax Number : 480-585-6910
Authorized Official
Title or Position : AUTHORIZED OFFICIAL
Name : RAJAN DILIP BHATT
Credential :
Telephone Number : 602-385-2115
Provider Enumeration Date : 07/23/2020
Last Update Date : 11/19/2025

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