Gynecolgy Center of Phoenix

Primary specialty

Gynecology PhysicianTaxonomy code 207VG0400X

License

2692 Issued in AZ

Legal business name

GYNECOLGY CENTER OF PHOENIX

Practice address

2222 E Highland Ave Ste 225a
Phoenix, AZ 85016-4885

Phone

(602) 234-1700

NPI assigned

Mar 6, 2008

Last updated

Mar 6, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jack Obadia, DONPI 1750398251

Title

Owner

Phone

(602) 234-1700

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jack Obadia, D. O

  • Gynecology Physician
  • Phoenix, AZ
  • NPI 1750398251
  NPD (past) Authorized official

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

{
    "created_epoch": "1204761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204761600000",
    "number": "1033389911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2222 E HIGHLAND AVE STE 225A",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850164885",
            "telephone_number": "602-234-1700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2222 E HIGHLAND AVE STE 225A",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850164885",
            "telephone_number": "602-234-1700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GYNECOLGY CENTER OF PHOENIX",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-06",
        "last_updated": "2008-03-06",
        "status": "A",
        "authorized_official_last_name": "OBADIA",
        "authorized_official_first_name": "JACK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "602-234-1700",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "AZ",
            "license": "2692",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Gynecology Physician in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Gynecology Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.