Provider Demographics
NPI:1508340209
Name:ORTHOPAEDIC SPECIALISTS OF SCOTTSDALE, PLLC
Entity Type:Organization
Organization Name:ORTHOPAEDIC SPECIALISTS OF SCOTTSDALE, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER - PHYSICIAN
Authorized Official - Prefix:
Authorized Official - First Name:BERTRAND
Authorized Official - Middle Name:PAUL
Authorized Official - Last Name:KAPER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:480-305-0034
Mailing Address - Street 1:20401 N 73RD ST STE 135
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85255-4148
Mailing Address - Country:US
Mailing Address - Phone:480-305-0034
Mailing Address - Fax:480-361-3540
Practice Address - Street 1:20401 N 73RD ST STE 135
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85255-4148
Practice Address - Country:US
Practice Address - Phone:480-305-0034
Practice Address - Fax:480-361-3540
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-09-18
Last Update Date:2018-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207XS0114XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryAdult Reconstructive Orthopaedic SurgeryGroup - Single Specialty