Maternal Fetal Medicine of Arizona LLC

Primary specialty

Maternal & Fetal Medicine PhysicianTaxonomy code 207VM0101X

License

40444 Issued in AZ

Legal business name

MATERNAL FETAL MEDICINE OF ARIZONA LLC

Practice address

4852 E Baseline Rd
Ste 104
Mesa, AZ 85206-4627

Phone

(480) 467-3545

Fax

(480) 467-3565

NPI assigned

Dec 7, 2012

Organization subpart

No

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

Authorized official

Name

Ronald Andrew Russell

Title

Chief Executive Officer

Phone

(480) 399-3880

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.

• Zoi Russell, MD

  • Maternal & Fetal Medicine Physician
  • Scottsdale, AZ
  • NPI 1720191893
  NPD (past)

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

{
    "created_epoch": "1354838400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358467200000",
    "number": "1093050601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8912 E PINNACLE PEAK RD",
            "address_2": "STE F9-585",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852553659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4852 E BASELINE RD",
            "address_2": "STE 104",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852064627",
            "telephone_number": "480-467-3545",
            "fax_number": "480-467-3565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATERNAL FETAL MEDICINE OF ARIZONA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-07",
        "last_updated": "2013-01-18",
        "status": "A",
        "authorized_official_last_name": "RUSSELL",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "ANDREW",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "480-399-3880"
    },
    "taxonomies": [
        {
            "code": "207VM0101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": "AZ",
            "license": "40444",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marissa Masters
• Kristian Jay Mastin, MC, LAC
• Morgan Leigh Mastromarino
• Kevin Masur, M.D.
• Kelsey Matarese
• Jaemey T Matherly, OTR/L
• Mary Matherly
• Gina Marie Mathew, MD
• Amanda Marie Mathews, LPC
• Brandon Mathews, DC

• Maternal & Fetal Medicine Physician in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Maternal & Fetal Medicine Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2013; 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.