Organization
OSNA PLLC
Active
Organization
OSNA PLLC
Active
Parent organization
ORTHOPEDIC SPECIALISTS OF NORTH AMERICA
Other names
OrthoArizona
Organization subpart
Yes
Provider details
NPI number
Legal business name
ORTHOPEDIC SPECIALISTS OF NORTH AMERICA
Authorized official
MELISSA A ENGLERT (CREDENTIALING COORDINATOR)
(602) 385-2115
Entity
Organization
Contact information
Practice address
8630 E VIA DE VENTURA, SUITE 201, SCOTTSDALE, AZ 85258-3358
(480) 558-3744
Mailing address
PO BOX 271429, SALT LAKE CITY, UT 84127-1429
(602) 772-3800
(602) 772-3801
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6419820023
NATIONAL SUPPLIER CLEARING HOUSE
AZ
05
—
715535
—
AZ
01
—
DQ4501
RAILROAD MEDICARE PTAN
AZ
Enumeration date
03/03/2010
Last updated
01/04/2019
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