Maternal Fetal Medicine and Genetics PLC

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

Legal business name

MATERNAL FETAL MEDICINE AND GENETICS PLC

Practice address

1772 E. Boston Street
Suite 107
Gilbert, AZ 85295-6243

Phone

(480) 773-7903

Fax

(480) 773-6512

NPI assigned

Jan 25, 2016

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Susan Ponkey, M.D.

Title

Physician

Phone

(480) 773-7903

Specialties & licenses 1

Addresses

Other identifiers 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/14659/brand/1/csg/1/fhir/r4

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1453680000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1492905600000",
    "number": "1003273822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7380 E ALTA SIERRA DR",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852661885",
            "telephone_number": "480-773-7903",
            "fax_number": "480-773-6512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1772 E. BOSTON STREET",
            "address_2": "SUITE 107",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852956243",
            "telephone_number": "480-773-7903",
            "fax_number": "480-773-6512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATERNAL FETAL MEDICINE AND GENETICS PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-25",
        "last_updated": "2017-04-23",
        "status": "A",
        "authorized_official_last_name": "PONKEY",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "480-773-7903",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "826480",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "119406",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Marissa Mastroianni, OTR
• Jorge Masuello, M.D.
• Judit Atziri Matamoros Contreras, COTA
• Alvaro Matamoros-Aunon, CRNA
• Elizabeth Nicole Matejcik, OTR/L
• Raymonda D Matheka, PSYD
• Nicole Matheny
• Aaron Mathew Kuriakose
• Albert Mathew I, RRT
• Jessy Mathew

• Medical Specialty Clinic/Center in Gilbert, AZ
• Providers in Gilbert, AZ by specialty
• Medical Specialty Clinic/Center in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.