NPIMap

Organization Active NPI

Bethany Womens Healthcare

  • Specialist
  • Phoenix, AZ
National Provider Identifier
1104863588
Registry record updated May 8, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
BETHANY WOMENS HEALTHCARE
Practice address
3660 W Bethany Home Rd
Ste a
Phoenix, AZ 85019-1953
Phone
(602) 973-3200
Fax
(602) 973-0508
NPI assigned
Jun 2, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 8, 2009

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

Authorized official

Name
Alan A Schapker, M.D.
Title
President/Owner
Phone
(602) 973-3200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

3660 W Bethany Home Rd
Ste a
Phoenix, AZ 85019-1953

Mailing address

3660 W Bethany Home Rd
Ste a
Phoenix, AZ 85019-1953
Phone (602) 973-3200

Other identifiers 3

IdentifierTypeStateIssuer
067422MedicaidAZ
710360MedicaidAZ
229668MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040327000089 AZ Part B Supplier - Clinic/Group Practice 0446142178 Receives reassigned benefits from 7 practitioners
Practice locations: Phoenix, AZ

National Provider Directory

National Provider Directory
Tax ID family
Bethany Birth Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

3660 W Bethany Home Rd
Ste A
Phoenix, AZ 85019
Phone (602) 973-3200

Practitioners & affiliated clinicians

Practitioners 12

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1149206400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1241740800000",
    "number": "1104863588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3660 W BETHANY HOME RD",
            "address_2": "STE A",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850191953",
            "telephone_number": "602-973-3200",
            "fax_number": "602-973-0508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3660 W BETHANY HOME RD",
            "address_2": "STE A",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850191953",
            "telephone_number": "602-973-3200",
            "fax_number": "602-973-0508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BETHANY WOMENS HEALTHCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-02",
        "last_updated": "2009-05-08",
        "status": "A",
        "authorized_official_last_name": "SCHAPKER",
        "authorized_official_first_name": "ALAN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "602-973-3200",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "067422",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "710360",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "229668",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.