OTTAWA SPORTS MEDICINE – NPI #1346751351
General Practice

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Health Care Provider Taxonomy Code for General Practice

OTTAWA SPORTS MEDICINE is a provider located in SURPRISE, AZ. NPPES has assigned the NPI number 1346751351 to OTTAWA SPORTS MEDICINE on October 17, 2017. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “OTTAWA SPORTS MEDICINE” is a dba name, the actual legal business name for this organization is OTTAWA UNIVERSITY. The primary taxonomy selected by this provider is 208D00000X from the Health Care Provider Taxonomy code set, which is classified as General Practice.

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for OTTAWA SPORTS MEDICINE below.

NPI Profile for
OTTAWA UNIVERSITY

NPI Number
1346751351
Enumeration Date

(more than 8 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
OTTAWA UNIVERSITY
Doing Business As (dba): OTTAWA SPORTS MEDICINE
Primary location
15950 N. CIV CENTER PLAZA
SURPRISE, AZ 85374
Phone: (972) 367-4845 Fax:
Mailing address
5050 SPRING VALLEY RD
DALLAS, TX 75244-3995
Phone: Fax:
Organization Subpart
No
Authorized Official
MOUZON BASS
AGENT
Phone: (972) 367-4845
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
208D00000X
- General Practice (Primary)		 AZ 31375

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.