Southwest Sports Medicine & Orthopaedic Surgery Clinic
NPI 1083940837ActiveOrganization· Orthopaedic Surgery· Mesa, AZ
Orthopaedic Surgery in Mesa, Arizona, registered in NPPES in October 2009, part of Southwest Sports Medicine & Orthopaedic Surgery Clinic. The authorized official on file is Angelo J. Mattalino, Owner.
Overview
| NPI | 1083940837 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Southwest Sports Medicine & Orthopaedic Surgery Clinic |
| NPI issued | Oct 29, 2009 |
| Last updated in NPPES | Oct 29, 2009 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Orthopaedic Surgery Primary | 207X00000X | 3696 | AZ |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other Orthopaedic Surgery providers in Mesa
- 1316058936
- 1235226481
- 1861368664
- 1376382960
- 1083047518
- 1336215078
- 1710022033
- 1265755375
- 1558720300
- 1780906693
- 1932749546
- 1548762719