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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
1207XS0114XAdult Reconstructive Orthopaedic Surgery Physician
2207XS0117XOrthopaedic Surgery of the Spine Physician
3207XS0106XOrthopaedic Hand Surgery Physician
4207XX0005XSports Medicine (Orthopaedic Surgery) Physician
5208VP0000XPain Medicine Physician
6208VP0014XInterventional Pain Medicine Physician
7213E00000XPodiatrist
8213ES0103XFoot & Ankle Surgery Podiatrist
9208100000XPhysical Medicine & Rehabilitation Physician
10261QR0200XRadiology Clinic/Center
11207X00000XOrthopaedic Surgery Physician

General Provider Information

NPI Number : 1205778735
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 : 9070 W GLENDALE AVE STE 100
Second Line :
City : GLENDALE
State : AZ
Zip : 85305-1120
Country : US
Telephone Number : 602-648-5444
Fax Number : 602-772-3801
Authorized Official
Title or Position : CEO
Name : RAJAN DILIP BHATT
Credential : MD, CEO
Telephone Number : 602-385-2115
Provider Enumeration Date : 04/06/2026
Last Update Date : 04/06/2026

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