Provider Demographics
NPI:1477806701
Name:ARIZONA JOINT CARE & ORTHOPEDIC SURGERY SPECIALISTS
Entity Type:Organization
Organization Name:ARIZONA JOINT CARE & ORTHOPEDIC SURGERY SPECIALISTS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:KIM
Authorized Official - Middle Name:
Authorized Official - Last Name:CALIENDO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:602-943-1019
Mailing Address - Street 1:9225 N 3RD ST STE 203
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85020-2464
Mailing Address - Country:US
Mailing Address - Phone:602-943-1019
Mailing Address - Fax:602-943-4890
Practice Address - Street 1:9225 N 3RD ST STE 203
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85020-2464
Practice Address - Country:US
Practice Address - Phone:602-943-1019
Practice Address - Fax:602-943-4890
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-10-24
Last Update Date:2012-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ1538251699OtherNPI
AZ1861649428OtherNPI
AZ1538251699OtherNPI
AZ1861649428OtherNPI
AZF97710Medicare UPIN