AZ OBSTETRICS & GYNECOLOGY, LLC (NPI# 1871875047) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871875047 |
| Entity Type | Organization |
| Organization Name | AZ OBSTETRICS & GYNECOLOGY, LLC |
| Practice Address |
1520 S Dobson Rd Suite 316 Mesa AZ 85202-4725 |
| Practice Telephone | 4808351716 |
| Practice Fax Number | 4802907094 |
| Mailing Telephone | 4808351716 |
| Mailing Fax Number | 4802907094 |
| Enumeration Date | 2011-09-14 |
| Last Update Date | 2011-09-14 |
| Authorized Official Name | JENNIFER A TUMLINSON (ADMINISTRATOR) |
| Authorized Official Telephone | 4807891189 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM2500X |
Clinic/Center Specialization: Medical Specialty |
32889 | AZ | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 865040 | 05 |
| Street Address |
1520 S DOBSON RD SUITE 316 |
| City | MESA |
| State | AZ |
| Zip Code | 85202-4725 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790789725 | Giridhari L Bansal | Pediatrics | 1520 S Dobson Rd, Ste 205, Mesa, AZ 85202-4726 | 2005-06-08 |
| 1689129769 | Svetlana Pedenko Md PC | Internal Medicine | 1520 S Dobson Rd, Suite 307, Mesa, AZ 85202-4725 | 2016-08-18 |
| 1801245154 | Megan Milleen Smith | Nurse Practitioner | 1520 S Dobson Rd, Ste #203, Mesa, AZ 85202-4725 | 2016-06-07 |
| 1023476819 | Alisha Zimmer | Nurse Practitioner | 1520 S Dobson Rd, Suite 209, Mesa, AZ 85202-4725 | 2016-02-08 |
| 1043645617 | Kevin M Warren | Physician Assistant | 1520 S Dobson Rd, Suite 203, Mesa, AZ 85202-4725 | 2013-09-13 |
| 1093149692 | Kevin Warren | General Acute Care Hospital | 1520 S Dobson Rd, Suite 203, Mesa, AZ 85202-4725 | 2013-08-30 |
| 1104267780 | Jacob H Nelson | Podiatrist | 1520 S Dobson Rd, Suite 307, Mesa, AZ 85202-4725 | 2013-07-11 |
| 1730462235 | Tamar K Gottfried Md, Plc | Clinic/Center | 1520 S Dobson Rd, Suite 316, Mesa, AZ 85202-4725 | 2011-09-21 |
| 1164721742 | Jigar Maheshkumar Rathod | Psychiatry & Neurology | 1520 S Dobson Rd, Ste 203, Mesa, AZ 85202-4725 | 2011-03-22 |
| 1811212822 | Colorado Spine Inovations | Durable Medical Equipment & Medical Supplies | 1520 S Dobson Rd, Suite 211, Mesa, AZ 85202-4725 | 2010-04-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275173536 | Samuel A Wolde | Counselor | Clear View Counseling, 2651 W Guadalupe Rd, Mesa, AZ 85202 | 2020-01-14 |
| 1912549171 | Lauren Barbara Loges | Occupational Therapist | 2225 E. Southern Avenue, Mesa, AZ 85202 | 2019-10-09 |
| 1245724822 | Medsource Orthotics & Prosthetics, Inc | Prosthetic/Orthotic Supplier | 1450 S Dobson Rd Ste B326, Mesa, AZ 85202 | 2018-06-18 |
| 1457843310 | Jay Douglas Baumgardner | Physical Therapist | 1941 W. Guadalupe Rd. Suite 109, Mesa, AZ 85202 | 2018-06-05 |
| 1144746215 | Alyson Fix | Physician Assistant | 1432 S Dobson Rd Ste 304, Mesa, AZ 85202 | 2017-08-20 |
| 1194108852 | Robert Dale Labrum | Counselor | 1255 W Baseline Rd Ste B-258, Mesa, AZ 85202 | 2015-06-30 |
| 1114325677 | John David Shull Jr. | Physician Assistant | 1520 S Dobson Rd Ste 305, Mesa, AZ 85202 | 2014-12-16 |
| 1316356207 | Embry Womens Health LLC | Nurse Practitioner | 2204 S Dobson Road, Suite 203, Mesa, AZ 85202 | 2014-08-05 |
| 1619312899 | Fiza Naueed Khan | Internal Medicine | 1400 South Dobson Road, Attn: Bmg Hospitalists Team/amanda Gump, Mesa, AZ 85202 | 2013-05-01 |
| 1487903373 | Jodi Lynn Mealer | Pharmacist | 1951 W. Baseline Rd., Mesa, AZ 85202 | 2012-09-06 |
| Find all providers in zip 85202 | ||||
| Taxonomy Code | 261QM2500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Medical Specialty |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780883108 | Yara Vargas Md Plc | Clinic/Center | 2919 S Ellsworth Rd Ste 117, Mesa, AZ 85212-2166 | 2007-07-16 |
| 1952909897 | Opal Anesthesia, LLC | Clinic/Center | 6424 E Broadway Rd Ste 102, Mesa, AZ 85206-1750 | 2020-10-13 |
| 1740888684 | Resourceful Medical Group, LLC | Clinic/Center | 6424 E Broadway Rd Ste 102, Mesa, AZ 85206-1750 | 2020-10-13 |
| 1598221053 | Red Mountain Dietitian Services LLC | Clinic/Center | 2929 N Power Rd, Mesa, AZ 85215-1745 | 2019-02-20 |
| 1487193371 | East Valley Urology Center Plc | Clinic/Center | 6116 E Arbor Ave, Mesa, AZ 85206-6107 | 2017-02-13 |
| 1447525134 | L.blair Nielsen, Dc LLC | Clinic/Center | 7254 E Southern Ave, 113, Mesa, AZ 85209-2786 | 2012-03-14 |
| 1326229881 | Valley Echo Inc | Clinic/Center | 1351 E Jensen St, Mesa, AZ 85203-3353 | 2007-11-26 |
| 1376722538 | Ronald C Burton M.d.,p.c. | Clinic/Center | 1432 S Dobson Rd, Suite 509, Mesa, AZ 85202-4768 | 2007-10-24 |
| 1467595504 | Brent D. Sloten D.o. Pllc | Clinic/Center | 1818 E Baseline Rd, Bldg. A, Mesa, AZ 85204-6814 | 2007-02-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578179735 | Az Neurosurgery & Spine, Pllc | Clinic/Center | 371 Garden St # A-27, Prescott, AZ 86305-2914 | 2020-09-22 |
| 1417573742 | Shanti Auto Injury and Accident, Pllc | Clinic/Center | 1695 W 24h St, Suite C, Yuma, AZ 85364 | 2020-06-23 |
| 1073133583 | American Medical Center P.C. | Clinic/Center | 8417 E Mcdowell Rd Ste 101, Scottsdale, AZ 85257-3917 | 2020-04-24 |
| 1649809039 | Orthopedic Specialists of North America Pllc | Clinic/Center | 16838 E Palisades Blvd Ste C152, Fountain Hills, AZ 85268-3790 | 2020-04-07 |
| 1790319564 | La Laser Center PC, A Professional Medical Corporation | Clinic/Center | 6145 W Chandler Blvd Ste 3, Chandler, AZ 85226-3425 | 2020-03-02 |
| 1932733714 | La Laser Center PC, A Professional Medical Corporation | Clinic/Center | 13613 W Camino Del Sol Ste 1, Sun City West, AZ 85375-4480 | 2020-03-02 |
| 1083248850 | La Laser Center PC, A Professional Medical Corporation | Clinic/Center | 2755 Silver Creek Rd Ste 205, Bullhead City, AZ 86442-8347 | 2020-03-02 |
| 1508490376 | La Laser Center PC, A Professional Medical Corporation | Clinic/Center | 2116 N Stockton Hill Rd Ste F, Kingman, AZ 86401-4600 | 2020-03-02 |
| 1629546130 | Josh Vella, M.d., Pllc | Clinic/Center | 3200 E Camelback Rd Ste 180, Phoenix, AZ 85018-2326 | 2018-11-02 |
| 1366919714 | Bianca J Vazquez Md Pllc | Clinic/Center | 10250 N 92nd St Ste 205, Scottsdale, AZ 85258-4519 | 2018-10-24 |
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| 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.