Provider Demographics
NPI:1871613414
Name:ORTHOPEDIC SURGEONS NETWORK OF ARIZONA
Entity type:Organization
Organization Name:ORTHOPEDIC SURGEONS NETWORK OF ARIZONA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:TESS
Authorized Official - Middle Name:
Authorized Official - Last Name:BANS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:602-748-1100
Mailing Address - Street 1:1 E CAMELBACK RD
Mailing Address - Street 2:SUITE 700
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85012-1668
Mailing Address - Country:US
Mailing Address - Phone:602-748-1100
Mailing Address - Fax:602-748-1101
Practice Address - Street 1:1 E CAMELBACK RD
Practice Address - Street 2:SUITE 700
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85012-1668
Practice Address - Country:US
Practice Address - Phone:602-748-1100
Practice Address - Fax:602-748-1101
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-29
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Single Specialty
Not Answered207XP3100XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryPediatric Orthopaedic SurgeryGroup - Single Specialty
Not Answered207XS0106XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryHand SurgeryGroup - Single Specialty
Not Answered207XS0114XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryAdult Reconstructive Orthopaedic SurgeryGroup - Single Specialty
Not Answered207XS0117XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryOrthopaedic Surgery of the SpineGroup - Single Specialty
Not Answered207XX0004XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryFoot and Ankle SurgeryGroup - Single Specialty
Not Answered207XX0005XAllopathic & Osteopathic PhysiciansOrthopaedic SurgerySports MedicineGroup - Single Specialty
Not Answered207XX0801XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryOrthopaedic TraumaGroup - Single Specialty