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CENTRAL PHOENIX OB GYN NPI 1902187354


NPI Information

NPI: 1902187354
Provider Name: CENTRAL PHOENIX OB GYN
Classification: Obstetrics & Gynecology - 207V00000X
Entity Type: Organization

CLIA Number: 03D0703966

Address:
2034 N 3RD ST
PHOENIX, AZ
ZIP 85004
Phone: (602) 288-0777
Get Directions

CENTRAL PHOENIX OB GYN is an obstetrics gynecology in Phoenix, AZ. The provider is 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. CENTRAL PHOENIX OB GYN NPI is 1902187354. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2034 N 3RD ST
PHOENIX, AZ
ZIP 85004-403
Phone: (602) 288-0777
Fax: (602) 340-0398

The provider's authorized official is Sharon R Thompson .
The authorized official title is Owner and has the following contact phone number (602) 288-0777.

The CLIA number assigned to this NPI record is 03D0703966 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 8/30/2011 and was last updated on 7/29/2013.


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
1207V00000XObstetrics & GynecologyYes

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
1660407MEDICAIDARIZONA
2Z148730OTHERARIZONAPTAN

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: 4/28/2024

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