Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Orthopedic Specialists of North America, PLLC

Organization Orthopaedic Surgery Physician · NPI 1679937262

Orthopedic Specialists of North America, PLLC is an Orthopaedic Surgery Physician in San Tan Valley, Arizona. Licensed in Arizona. Registered with an NPI since 2016.

Licensed in
AZ
In the registry since
2016
Specialties on file
3
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

40601 N Gantzel Rd Ste 103
San Tan Valley, AZ 85140-7036
Phone: (602) 648-5444
Fax: (602) 772-3801
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Sports Medicine (Orthopaedic Surgery) Physician (primary) Taxonomy 207XX0005X
Orthopaedic Surgery Physician Taxonomy 207X00000X · Licence 44763 (AZ)
Orthopaedic Surgery Physician Taxonomy 207X00000X

Record details

NPI number1679937262
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationOrthopedic Specialists of North America, PLLC
Authorized official Daleina Bulger — Credentialing Manager · (602) 385-2115
Other names Orthoarizona
NPI enumeratedApril 8, 2016
Last updated in NPPESJuly 25, 2022
Certification dateJuly 25, 2022
Mailing addressPo Box 80217, Phoenix, AZ 85060-0217

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