Provider Demographics
NPI:1093437246
Name:AZ ORTHOPEDICS LLC
Entity type:Organization
Organization Name:AZ ORTHOPEDICS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRACTICE ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:ALICIA
Authorized Official - Middle Name:
Authorized Official - Last Name:RASCHILLO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:623-337-7597
Mailing Address - Street 1:PO BOX 33727
Mailing Address - Street 2:
Mailing Address - City:BELFAST
Mailing Address - State:ME
Mailing Address - Zip Code:04915-0615
Mailing Address - Country:US
Mailing Address - Phone:480-697-4824
Mailing Address - Fax:480-697-4825
Practice Address - Street 1:10290 N 92ND ST STE 101
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85258-4508
Practice Address - Country:US
Practice Address - Phone:480-697-4824
Practice Address - Fax:480-697-4825
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-09-14
Last Update Date:2025-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Single Specialty