Individual provider Active NPI

Elizabeth V Mahour-Moyer, M.D.

  • Obstetrics & Gynecology Physician
  • Glendale, AZ
National Provider Identifier
1023024841
Registry record updated Apr 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
37282 Issued in AZ
Practice address
6678 W Thunderbird Rd
Glendale, AZ 85306-3721
Phone
(602) 978-1500
Fax
(602) 978-0409
NPI assigned
Aug 1, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 37282 AZ Primary

Addresses

Primary practice location

6678 W Thunderbird Rd
Glendale, AZ 85306-3721

Mailing address

6678 W Thunderbird Rd
Glendale, AZ 85306-3721
Phone (602) 978-1500

Other identifiers 1

IdentifierTypeStateIssuer
636849MedicaidAZ

Other names 1

  • Elizabeth V Mahour Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120210000382 AZ Practitioner - Obstetrics/Gynecology 6507892171 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Genesis OB GYN PLLCGroup PAC ID 4284724279, 109 clinicians

Practice addresses (Care Compare)

1521 E Tangerine Rd
Suite 361
Oro Valley, AZ 85755-6224
Phone (520) 545-0573

6678 W Thunderbird Rd
Glendale, AZ 85306-3721
Phone (602) 978-1500

7787 W Deer Valley Rd
Suite 296
Peoria, AZ 85382-2119
Phone (602) 978-1500

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
37282AZMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Desert West Obstetrics & Gynecology LTD Obstetrics & Gynecology CurrentSince Oct 1, 2018 Accepting new patients
Genesis OB GYN PLLC Obstetrics & Gynecology CurrentSince Jul 1, 2024 Accepting new patients
All Care for Women, LLP Obstetrics & Gynecology PastSince Aug 5, 2020 Accepting new patients
Tara L Brodkin MD PLLC Obstetrics & Gynecology Past Accepting new patients
Momdoc, LLC Obstetrics & Gynecology PastSince Jan 1, 2014 Accepting new patients
General Physician, PC Past Accepting new patients

Locations

6678 W Thunderbird Rd
Glendale, AZ 85306
Phone (602) 678-1500

5601 W Eugie Ave
Ste 100
Glendale, AZ 85304
Phone (602) 865-4510

1521 E Tangerine Rd
Ste 361
Oro Valley, AZ 85755
Phone (520) 545-0573

7787 W Deer Valley Rd
Ste 296
Peoria, AZ 85382
Phone (602) 978-1500

9305 W Thomas Rd
Ste 550
Phoenix, AZ 85037
Phone (602) 978-1500

33423 N 32nd Ave
Ste 3200
Phoenix, AZ 85085
Phone (602) 978-1500

2424 N Wyatt Dr
Ste 260
Tucson, AZ 85712
Phone (520) 795-0549

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/19050/brand/1/csg/1/fhir/r4
  • Direct secure messaging: elizabeth.mahourmoyer.p1@direct.dwobgyn.nextgenshare.com
  • Direct secure messaging: elizabeth.mahour-moyer.1@19050.direct.athenahealth.com

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713916800000",
    "number": "1023024841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6678 W THUNDERBIRD RD",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853063721",
            "telephone_number": "602-978-1500",
            "fax_number": "602-978-0409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6678 W THUNDERBIRD RD",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853063721",
            "telephone_number": "602-978-1500",
            "fax_number": "602-978-0409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAHOUR-MOYER",
        "first_name": "ELIZABETH",
        "middle_name": "V",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-01",
        "last_updated": "2024-04-24",
        "certification_date": "2024-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "AZ",
            "license": "37282",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "636849",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELIZABETH",
            "last_name": "MAHOUR",
            "middle_name": "V",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Glendale, AZ

Sources for this page

Verify at the official NPI Registry.