Provider Type Icon

WOMEN'S MEDICAL GROUP OF TEMPE NPI 1417119108


NPI Information

NPI: 1417119108
Provider Name: WOMEN'S MEDICAL GROUP OF TEMPE

Doing Business As: EAST VALLEY WOMEN'S MEDICAL GROUP

Classification: Specialist - 174400000X
Entity Type: Organization
Address:
4915 E BASELINE RD STE 104
GILBERT, AZ
ZIP 85234
Phone: (480) 632-2004
Get Directions

WOMEN'S MEDICAL GROUP OF TEMPE is a specialist in Gilbert, AZ. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. WOMEN'S MEDICAL GROUP OF TEMPE NPI is 1417119108. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As East Valley Women's Medical Group.

The provider's business location address is:

4915 E BASELINE RD STE 104
GILBERT, AZ
ZIP 85234-966
Phone: (480) 632-2004

The provider's authorized official is Claudia Maria Sevillano .
The authorized official title is Supervisor/ Biller and has the following contact phone number (480) 632-2004.

The enumeration date for this NPI number is 6/25/2008 and was last updated on 10/15/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1174400000XSpecialist33219ARIZONAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1F70083MEDICARE UPINARIZONA
283790OTHERARIZONAMEDICARE PTAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.