DESERT WEST OBGYN (NPI# 1588100564) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1588100564 |
Entity Type | Organization |
Organization Name | DESERT WEST OBGYN |
Practice Address |
5601 W Eugie Ave Ste 100 Glendale AZ 85304-1256 |
Practice Telephone | 6029781500 |
Practice Fax Number | 6029788944 |
Mailing Telephone | 6029781500 |
Mailing Fax Number | 6029788944 |
Enumeration Date | 2017-01-13 |
Last Update Date | 2017-01-13 |
Authorized Official Name | DR. ROBERT W PHILLIPS (VICE PRESIDENT) |
Authorized Official Telephone | 6029781500 |
Authorized Official Credential | MD |
Is Organization Subpart | Y |
Parent Organization Name | DESERT WEST OB/GYN LTD. |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207V00000X | Obstetrics & Gynecology | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
AZ | 360480 | 05 |
Street Address |
5601 W EUGIE AVE STE 100 |
City | GLENDALE |
State | AZ |
Zip Code | 85304-1256 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1073703443 | Kelly Ann Goad | Obstetrics & Gynecology | 5601 W Eugie Ave Ste 100, Glendale, AZ 85304-1256 | 2007-07-31 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1386254027 | J & B Assisted Living, Inc. D/b/a J & B Behavioral Health II | Substance Abuse Rehabilitation Facility | 6613 W. Pershing Avenue, Glendale, AZ 85304 | 2020-08-07 |
1194214015 | Vema Corporation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 4309 W Corrine Dr, Glendale, AZ 85304 | 2018-05-07 |
1962929224 | Glendale Surgery Center | Clinic/Center | 11851 North 51st Ave, Suite G, Glendale, AZ 85304 | 2017-08-28 |
1073941092 | Megan Lorenzen | Occupational Therapist | 5834 W. Bloomfield Rd., Glendale, AZ 85304 | 2013-10-30 |
1396178380 | Danielle Marie Wiles | Registered Nurse | 12901 W. 63rd Avenue, Glendale, AZ 85304 | 2013-08-14 |
1780017848 | Pedram Nazari | Pharmacist | 4811 North 83rd Avenue, Glendale, AZ 85304 | 2013-08-13 |
1740558022 | Krunal Patel | Obstetrics & Gynecology | 5605 W Eugie Ave Ste 111, Glendale, AZ 85304 | 2011-12-01 |
1730499609 | Laura A Truax | Physician Assistant | 11851 N. 51st Ave, Ste F-110, Glendale, AZ 85304 | 2010-10-13 |
1760698419 | Suhir Bitar | Pediatrics | 13625 N 59th Ave, Glendale, AZ 85304 | 2007-05-16 |
1497967293 | Pam Rubbone | Psychologist | 4650 West Sweetwater Ave., Glendale, AZ 85304 | 2007-05-04 |
Find all providers in zip 85304 |
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 |
---|---|---|---|---|
1669093357 | Adventist Health Physicians Network | Obstetrics & Gynecology | 1505 Wilson Ter Ste 300, Glendale, CA 91206-4073 | 2020-05-04 |
1821542077 | Crisis Pregnancy Centers of Greater Phoenix | Obstetrics & Gynecology | 10555 N 58th Dr, Glendale, AZ 85302-1360 | 2016-08-04 |
1093177156 | Kathryn Reise | Obstetrics & Gynecology | 6316 W Union Hills Dr # 100, Glendale, AZ 85308-1001 | 2016-03-27 |
1215324439 | Katherine Elizabeth Roberts | Obstetrics & Gynecology | 4655 N Port Washington Rd Ste 100, Glendale, WI 53212-1070 | 2015-04-26 |
1871890160 | Sahag A Arslanian Md, A Medical Corporation | Obstetrics & Gynecology | 1241 S Glendale Ave Ste 201, Glendale, CA 91205-3388 | 2011-02-22 |
1689802530 | Chand Jasen Aryasingha | Obstetrics & Gynecology | 3120 Kingridge Way, Glendale, CA 91206-1027 | 2009-06-30 |
1073703443 | Kelly Ann Goad | Obstetrics & Gynecology | 5601 W Eugie Ave Ste 100, Glendale, AZ 85304-1256 | 2007-07-31 |
1720278666 | Michael Conrad Bryan | Obstetrics & Gynecology | 5310 W Thunderbird Rd Ste 308, Glendale, AZ 85306-4710 | 2007-07-26 |
1972793933 | Melissa Gioia Austin I | Obstetrics & Gynecology | 6316 W Union Hills Dr Ste 100, Glendale, AZ 85308-1001 | 2007-07-26 |
1134330673 | Sher Institute for Reproductive Medicine Los Angeles Medical Group Inc | Obstetrics & Gynecology | 1520 E Chevy Chase Dr, Suite 101, Glendale, CA 91206-4106 | 2007-05-25 |
Find all providers in GLENDALE |
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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.