Provider Demographics
| NPI: | 1962292870 |
|---|---|
| Name: | ORTHOPEDIC SPECIALISTS OF NORTH AMERICA, PLLC |
| Entity type: | Organization |
| Organization Name: | ORTHOPEDIC SPECIALISTS OF NORTH AMERICA, PLLC |
| Other - Org Name: | |
| Other - Org Type: | |
| Authorized Official - Title/Position: | DIRECTOR/OFFICER |
| Authorized Official - Prefix: | |
| Authorized Official - First Name: | RAJAN |
| Authorized Official - Middle Name: | |
| Authorized Official - Last Name: | BHATT |
| Authorized Official - Suffix: | |
| Authorized Official - Credentials: | MD |
| Authorized Official - Phone: | 602-648-5444 |
| Mailing Address - Street 1: | PO BOX 80217 |
| Mailing Address - Street 2: | |
| Mailing Address - City: | PHOENIX |
| Mailing Address - State: | AZ |
| Mailing Address - Zip Code: | 85060-0217 |
| Mailing Address - Country: | US |
| Mailing Address - Phone: | 602-385-2115 |
| Mailing Address - Fax: | 480-418-3323 |
| Practice Address - Street 1: | 1675 E MELROSE ST UNIT 202 |
| Practice Address - Street 2: | |
| Practice Address - City: | GILBERT |
| Practice Address - State: | AZ |
| Practice Address - Zip Code: | 85297-1002 |
| Practice Address - Country: | US |
| Practice Address - Phone: | 602-648-5444 |
| Practice Address - Fax: | 602-772-3801 |
| EIN: | <UNAVAIL> |
| Is Organization Subpart?: | Yes |
| Parent Organization LBN: | ORTHOPEDIC SPECIALISTS OF NORTH AMERICA, PLLC |
| Parent Organization TIN: | <UNAVAIL> |
| Enumeration Date: | 2025-05-12 |
| Last Update Date: | 2025-11-13 |
| Deactivation Date: | |
| Deactivation Code: | |
| Reactivation Date: |
Provider Taxonomies
| Primary? | Code | Type | Classification | Specialization | Group |
|---|---|---|---|---|---|
| Yes | 207X00000X | Allopathic & Osteopathic Physicians | Orthopaedic Surgery | Group - Multi-Specialty | |
| No | 207XS0117X | Allopathic & Osteopathic Physicians | Orthopaedic Surgery | Orthopaedic Surgery of the Spine | Group - Multi-Specialty |
| No | 207XX0005X | Allopathic & Osteopathic Physicians | Orthopaedic Surgery | Sports Medicine | Group - Multi-Specialty |
| No | 207XS0114X | Allopathic & Osteopathic Physicians | Orthopaedic Surgery | Adult Reconstructive Orthopaedic Surgery | Group - Multi-Specialty |
| No | 208VP0014X | Allopathic & Osteopathic Physicians | Pain Medicine | Interventional Pain Medicine | Group - Multi-Specialty |
| No | 208100000X | Allopathic & Osteopathic Physicians | Physical Medicine & Rehabilitation | Group - Multi-Specialty | |
| No | 208VP0000X | Allopathic & Osteopathic Physicians | Pain Medicine | Pain Medicine | Group - Multi-Specialty |
| No | 207XS0106X | Allopathic & Osteopathic Physicians | Orthopaedic Surgery | Hand Surgery | Group - Multi-Specialty |
| No | 213E00000X | Podiatric Medicine & Surgery Service Providers | Podiatrist | Group - Multi-Specialty | |
| No | 213ES0103X | Podiatric Medicine & Surgery Service Providers | Podiatrist | Foot & Ankle Surgery | Group - Multi-Specialty |
| No | 261QM1200X | Ambulatory Health Care Facilities | Clinic/Center | Magnetic Resonance Imaging (MRI) | |
| No | 261QR0200X | Ambulatory Health Care Facilities | Clinic/Center | Radiology |