Bella Sierra Womens Center PLLC

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

36571 Issued in AZ

Legal business name

BELLA SIERRA WOMENS CENTER PLLC

Practice address

3410 Canyon de Flores Ste C
Sierra Vista, AZ 85650-5373

Phone

(520) 459-1914

Fax

(520) 459-7130

NPI assigned

Apr 24, 2012

Last updated

Nov 13, 2012By 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

Peter G Van Oosten, M.D.

Title

Owner

Phone

(520) 459-1914

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1335225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1352764800000",
    "number": "1104184522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3410 CANYON DE FLORES",
            "address_2": "#C",
            "city": "SIERRA VISTA",
            "state": "AZ",
            "postal_code": "856505372",
            "telephone_number": "520-459-1914",
            "fax_number": "520-459-7130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3410 CANYON DE FLORES STE C",
            "city": "SIERRA VISTA",
            "state": "AZ",
            "postal_code": "856505373",
            "telephone_number": "520-459-1914",
            "fax_number": "520-459-7130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BELLA SIERRA WOMENS CENTER PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-24",
        "last_updated": "2012-11-13",
        "status": "A",
        "authorized_official_last_name": "VAN OOSTEN",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "520-459-1914",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "AZ",
            "license": "36571",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Providers in Sierra Vista, AZ by specialty
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2012; 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.