Sun Valley Spine and Orthopedics, PLLC
NPI 1619649258ActiveOrganization· Orthopaedic Surgery, Orthopaedic Surgery of the Spine· Phoenix, AZ
Orthopaedic Surgery, Orthopaedic Surgery of the Spine in Phoenix, Arizona, registered in NPPES in October 2021. The authorized official on file is Seth Jacknowitz, Cro.
Overview
| NPI | 1619649258 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 1, 2021 |
| Last updated in NPPES | Oct 18, 2023 |
| Certified by provider | Sep 27, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Orthopaedic Surgery, Orthopaedic Surgery of the Spine Primary | 207XS0117X | — | — |
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 |
|---|
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