MOMDOC, LLC (NPI# 1184780355) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184780355 |
| Entity Type | Organization |
| Organization Name | MOMDOC, LLC |
| Practice Address |
2545 W Frye Rd Ste 5 Chandler AZ 85224-6273 |
| Mailing Address |
Po Box 6730 Chandler AZ 85246-6730 |
| Practice Telephone | 4808213600 |
| Practice Fax Number | 4808572667 |
| Mailing Telephone | 4808213610 |
| Mailing Fax Number | 4808213610 |
| Enumeration Date | 2006-12-29 |
| Last Update Date | 2016-03-17 |
| Authorized Official Name | CLIFFORD J GOODMAN JR. (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 4808213610 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207VG0400X |
Obstetrics & Gynecology Specialization: Gynecology |
AZ | Allopathic & Osteopathic Physicians | |
| N | 207VX0000X |
Obstetrics & Gynecology Specialization: Obstetrics |
AZ | Allopathic & Osteopathic Physicians | |
| N | 367A00000X | Advanced Practice Midwife | AZ | Physician Assistants & Advanced Practice Nursing Providers | |
| N | 363LW0102X |
Nurse Practitioner Specialization: Women's Health |
AZ | Physician Assistants & Advanced Practice Nursing Providers | |
| N | 363AM0700X |
Physician Assistant Specialization: Medical |
AZ | Physician Assistants & Advanced Practice Nursing Providers | |
| Y | 207V00000X | Obstetrics & Gynecology | AZ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 342696 | 05 |
| Street Address |
2545 W FRYE RD STE 5 |
| City | CHANDLER |
| State | AZ |
| Zip Code | 85224-6273 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396746624 | Southwest Contemporary Women's Care, PC | Obstetrics & Gynecology | 2545 W Frye Rd, Suite 9, Chandler, AZ 85224-6273 | 2005-08-09 |
| 1922623420 | Yingxin Yang | Advanced Practice Midwife | 2545 W Frye Rd, Chandler, AZ 85224-6273 | 2020-06-10 |
| 1255893301 | Taylor Makana Surprise | Physician Assistant | 2545 W Frye Rd, Chandler, AZ 85224-6273 | 2019-04-05 |
| 1912472325 | Amber Nicole Walker | Physician Assistant | 2545 W Frye Rd, Chandler, AZ 85224 | 2018-10-11 |
| 1407285448 | Colleen Kelly Abrams | Physician Assistant | 2545 W Frye Rd, Suite 5, Chandler, AZ 85224-6273 | 2013-11-08 |
| 1225467087 | Keli Amparan | Advanced Practice Midwife | 2545 W Frye Rd, Suite 5, Chandler, AZ 85224-6273 | 2013-11-02 |
| 1538389036 | Arc Therapy Services LLC | Home Health | 2545 W Frye Rd, Ste 10a, Chandler, AZ 85224-6273 | 2007-04-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245878859 | Optum Infusion Services 308, LLC | Durable Medical Equipment & Medical Supplies | 460 S. Benson Lane, Ste. 11-12, Chandler, AZ 85224 | 2019-12-13 |
| 1073172037 | Brennan Allen | Dentist | 610 N Alma School Rd Ste 4, Chandler, AZ 85224 | 2019-06-12 |
| 1518525237 | Rachel Kelly Mador-house | Genetic Counselor, MS | 685 & 695 S Dobson Rd, Chandler, AZ 85224 | 2019-05-29 |
| 1780249748 | Julia Solomon, Md | Obstetrics & Gynecology | 1725 West Frye Road, Suite 120, Chandler, AZ 85224 | 2019-05-06 |
| 1487118717 | Litonrx LLC | Pharmacy | 2080 N. Dobson Road, Suite 3, Chandler, AZ 85224 | 2019-01-31 |
| 1528556495 | Stone Med, LLC | Physical Medicine & Rehabilitation | 77 S Dobson Rd., Phoenix, AZ 85224 | 2018-04-26 |
| 1144739079 | Four Peaks Anesthesia Consultants, LLC | Anesthesiology | 1900 W Chandler Blvd Ste 15-257, Chandler, AZ 85224 | 2017-09-22 |
| 1275061350 | Whitney Carter | Behavioral Analyst | 3200 N Dobson Rd Ste F-1, Chandler, AZ 85224 | 2017-06-01 |
| 1528509171 | Angela M. Navarrete | Specialist/Technologist, Other | 1586 W Maggio Way Apt 2005, 2005, Chandler, AZ 85224 | 2017-03-15 |
| 1063958288 | Glover Family Medical, LLC | Clinic/Center | 901 S Alma School Rd, Apt. 20, Chandler, AZ 85224 | 2017-01-11 |
| Find all providers in zip 85224 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730724477 | Lilac Healthcare LLC | Obstetrics & Gynecology | 655 S Dobson Rd Ste A101, Chandler, AZ 85224-5675 | 2019-11-15 |
| 1376707638 | Michella J Switzer | Obstetrics & Gynecology | 655 S Dobson Rd Ste 101, Chandler, AZ 85224 | 2008-07-16 |
| 1750507067 | Eddy Ob/gyn Plc | Obstetrics & Gynecology | 215 S Dobson Rd, Ste #1, Chandler, AZ 85224 | 2007-04-17 |
| 1407912579 | Joseph Dennis Mott | Obstetrics & Gynecology | 301 W Chilton St, Chandler, AZ 85225-7110 | 2006-12-30 |
| 1255410791 | Richard Haines Demir | Obstetrics & Gynecology | 80 N Mcclintock Dr, Suite 104, Chandler, AZ 85226-3767 | 2006-11-03 |
| 1881609766 | Harry C Watters Do Mph PC | Obstetrics & Gynecology | 604 W Warner Rd Ste E201, Chandler, AZ 85225-2911 | 2006-07-29 |
| 1326010505 | Kudzai R Dombo | Obstetrics & Gynecology | 2055 W Frye Rd, Suite 9, Chandler, AZ 85224-6277 | 2006-02-02 |
| 1982681284 | Andrew Charles Villa Jr. | Obstetrics & Gynecology | 1950 W Frye Rd Bldg B, Chandler, AZ 85224-6255 | 2005-12-28 |
| 1427030469 | Ernestine Bustamante | Obstetrics & Gynecology | 1950 W Frye Rd, Chandler, AZ 85224-6255 | 2005-11-16 |
| 1396746624 | Southwest Contemporary Women's Care, PC | Obstetrics & Gynecology | 2545 W Frye Rd, Suite 9, Chandler, AZ 85224-6273 | 2005-08-09 |
| Find all providers in CHANDLER | ||||
Please comment or provide details below to improve the information on MOMDOC, LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.