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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
1208100000XPhysical Medicine & Rehabilitation Physician
2207XS0106XOrthopaedic Hand Surgery Physician
3207X00000XOrthopaedic Surgery Physician

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1DQ4501OTHERAZRAILROAD MEDICARE PTAN

General Provider Information

NPI Number : 1326360231
Entity Type Code : Organization
Provider Name (Legal Business Name) : ORTHOPEDIC SPECIALISTS OF NORTH AMERICA, PLLC
Provider Business Mailing Address
First Line : PO BOX 80271
Second Line :
City : PHOENIX
State : AZ
Zip : 85060-0271
Country : US
Telephone Number : 602-385-2115
Fax Number : 480-418-3323
Provider Business Practice Location Address
First Line : 18555 N 79TH AVE STE E101
Second Line :
City : GLENDALE
State : AZ
Zip : 85308-8392
Country : US
Telephone Number : 602-631-3161
Fax Number : 602-631-3162
Authorized Official
Title or Position : AUTHORIZED OFFICIAL
Name : RAJAN DILIP BHATT
Credential :
Telephone Number : 602-385-2115
Provider Enumeration Date : 02/18/2010
Last Update Date : 11/18/2025

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Practice Location Address:
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1821570094 — TRACEY MYERS FNP-C
Practice Location Address:
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Practice Fax: 602-772-3801

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