Active NPI
Momdoc, LLC
- Obstetrics & Gynecology Physician
- Chandler, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- Legal business name
- MOMDOC, LLC
- Practice address
- 2055 W Frye Rd Ste 9
Chandler, AZ 85224-6277 - Phone
- (480) 821-3600
- NPI assigned
- Dec 29, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Earl Goodman
- Title
- Ceo
- Phone
- (480) 821-3600
Specialties & licenses 8
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | AZ | Primary | |
| Gynecology Physician | 207VG0400X | AZ | ||
| Obstetrics Physician | 207VX0000X | AZ | ||
| Medical Physician Assistant | 363AM0700X | AZ | ||
| Nurse Practitioner | 363L00000X | |||
| Family Nurse Practitioner | 363LF0000X | |||
| Women's Health Nurse Practitioner | 363LW0102X | AZ | ||
| Advanced Practice Midwife | 367A00000X | AZ |
Addresses
Primary practice location
2055 W Frye Rd Ste 9
Chandler, AZ 85224-6277
Mailing address
PO Box 6730
Chandler, AZ 85246-6730
Phone (480) 821-3600
Other practice location 1
1760 E Pecos Rd Ste 516
Gilbert, AZ 85295-3205
Phone (480) 821-3600
Other practice location 2
21300 N John Wayne Pkwy Ste 121
Maricopa, AZ 85139-8978
Phone (480) 821-3600
Other practice location 3
37100 N Gantzel Rd Ste 106
San Tan Valley, AZ 85140-7350
Phone (480) 821-3600
Other practice location 4
5171 S Cub Lake Rd Ste 340
Building C
Show Low, AZ 85901-7888
Phone (480) 821-3600
Other practice location 5
5656 S Power Rd Ste 137
Gilbert, AZ 85295-8490
Phone (480) 821-3600
Other practice location 6
6320 W Union Hills Dr Ste 100
Glendale, AZ 85308-1099
Phone (480) 821-3600
Other practice location 7
7342 E Thomas Rd Ste 105
Scottsdale, AZ 85251-7243
Phone (480) 821-3600
Other practice location 8
8410 W Thomas Rd Ste 134
Phoenix, AZ 85037-3374
Phone (480) 821-3600
Other practice location 9
1634 S Priest Dr Ste 101
Tempe, AZ 85281-6499
Phone (480) 821-3600
Other practice location 10
9897 W McDowell Rd Ste 320
Tolleson, AZ 85353-1625
Phone (480) 821-3600
Other practice location 11
1142 E Southern Ave Ste 101
Mesa, AZ 85204-5056
Phone (480) 821-3600
Other practice location 12
10240 W Indian School Rd Ste 100
Phoenix, AZ 85037-5905
Phone (480) 821-3600
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 342696 | Medicaid | AZ |
Other names 4
- MomDoc Mi Doctora
- MomDoc Midwives
- MomDoc Women for Women
- MomDoc Women's Health Research
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040520000050 | AZ | Part B Supplier - Clinic/Group Practice | 3375534282 |
Receives reassigned benefits from 73 practitioners Practice locations: Phoenix, AZ; Tolleson, AZ; Tempe, AZ; Show Low, AZ; Scottsdale, AZ; San Tan Valley, AZ; Mesa, AZ; Maricopa, AZ… |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 03D0529519 | Momdoc | Provider-performed microscopy | Jan 3, 2027 |
| 03D1107250 | Momdoc | Provider-performed microscopy | Jan 8, 2027 |
| 03D2198647 | Momdoc | Provider-performed microscopy | Nov 2, 2026 |
| 03D2228781 | Momdoc | Provider-performed microscopy | Jun 29, 2027 |
National Provider Directory
National Provider DirectoryLocations (25 of 28)
2055 W Frye Rd
Chandler, AZ 85224
2545 W Frye Rd
Chandler, AZ 85224
Phone (303) 243-2429
2055 W Frye Rd
Ste 5
Chandler, AZ 85224
2055 W Frye Rd
Ste 9
Chandler, AZ 85224
Phone (480) 821-3616
5656 S Power Rd
Ste 137
Gilbert, AZ 85295
Phone (480) 821-3616
3530 S Val Vista Dr
Ste 203
Gilbert, AZ 85297
Phone (480) 821-3616
1760 E Pecos Rd
Ste B516
Gilbert, AZ 85295
1760 E Pecos Rd
Ste 516A
Gilbert, AZ 85295
1760 E Pecos Rd
Ste 516B
Gilbert, AZ 85295
6320 W Union Hills Dr
Ste 100
Glendale, AZ 85308
10238 E Hampton Ave
Ste 507
Mesa, AZ 85209
Phone (480) 821-3616
1142 E Southern Ave
Ste 5
Mesa, AZ 85204
1118 E Southern Ave
#101
Mesa, AZ 85204
Phone (480) 782-7381
1142 E Southern Ave
Ste 101
Mesa, AZ 85204
21755 N 77th Ave
Ste E1200
Peoria, AZ 85382
Phone (623) 907-2377
21755 N 77th Ave
Ste 1200
Peoria, AZ 85382
Phone (623) 907-2377
9515 W Camelback Rd
Ste 106
Phoenix, AZ 85037
Phone (623) 581-8346
3838 N 7th St
Phoenix, AZ 85014
37100 N Gantzel Rd
Ste 106B
San Tan Valley, AZ 85140
37100 N Gantzel Rd
Ste 106A
San Tan Valley, AZ 85140
37100 N Gantzel Rd
Ste 105
San Tan Valley, AZ 85140
7342 E Thomas Rd
Ste 105
Scottsdale, AZ 85251
Phone (480) 917-6480
5171 S Cub Lake Rd
Ste 340
Show Low, AZ 85901
1634 S Priest Dr
Ste 101
Tempe, AZ 85281
Phone (480) 821-3601
1634 S Priest Dr
Tempe, AZ 85281
Practitioners & affiliated clinicians
Practitioners 103
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Obstetrics & Gynecology Physician
- Mesa, AZ
- NPI 1366028748
AZ, Obstetrics & Gynecology
-
- Obstetrics & Gynecology Physician
- Gilbert, AZ
- NPI 1396207072
AZ, Obstetrics & Gynecology
-
- Obstetrics & Gynecology Physician
- Phoenix, AZ
- NPI 1184283160
AZ, Obstetrics & Gynecology
-
- Obstetrics & Gynecology Physician
- Mesa, AZ
- NPI 1932688710
AZ, Obstetrics & Gynecology
-
- Obstetrics & Gynecology Physician
- Maricopa, AZ
- NPI 1790247690
AZ, Obstetrics & Gynecology
-
- Obstetrics & Gynecology Physician
- Chandler, AZ
- NPI 1417410424
AZ, Obstetrics & Gynecology
-
- Obstetrics & Gynecology Physician
- Tempe, AZ
- NPI 1306899612
AZ, Obstetrics & Gynecology
-
- Obstetrics & Gynecology Physician
- Phoenix, AZ
- NPI 1902467830
AZ, Obstetrics & Gynecology
-
- Advanced Practice Midwife
- Show Low, AZ
- NPI 1205493194
-
- Obstetrics & Gynecology Physician
- Chandler, AZ
- NPI 1558821777
AZ, Obstetrics & Gynecology
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167350400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1756080000000",
"number": "1184780355",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 6730",
"city": "CHANDLER",
"state": "AZ",
"postal_code": "852466730",
"telephone_number": "480-821-3600",
"fax_number": "480-857-2667"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2055 W FRYE RD STE 9",
"city": "CHANDLER",
"state": "AZ",
"postal_code": "852246277",
"telephone_number": "480-821-3600"
}
],
"practiceLocations": [
{
"address_1": "1760 E Pecos Rd Ste 516",
"address_purpose": "LOCATION",
"city": "Gilbert",
"state": "AZ",
"postal_code": "852953205",
"country_code": "US",
"telephone_number": "480-821-3600",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "21300 N John Wayne Pkwy Ste 121",
"address_purpose": "LOCATION",
"city": "Maricopa",
"state": "AZ",
"postal_code": "851398978",
"country_code": "US",
"telephone_number": "480-821-3600",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "37100 N Gantzel Rd Ste 106",
"address_purpose": "LOCATION",
"city": "San Tan Valley",
"state": "AZ",
"postal_code": "851407350",
"country_code": "US",
"telephone_number": "480-821-3600",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "5171 S Cub Lake Rd Ste 340",
"address_2": "Building C",
"address_purpose": "LOCATION",
"city": "Show Low",
"state": "AZ",
"postal_code": "859017888",
"country_code": "US",
"telephone_number": "480-821-3600",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "5656 S Power Rd Ste 137",
"address_purpose": "LOCATION",
"city": "Gilbert",
"state": "AZ",
"postal_code": "852958490",
"country_code": "US",
"telephone_number": "480-821-3600",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "6320 W Union Hills Dr Ste 100",
"address_purpose": "LOCATION",
"city": "Glendale",
"state": "AZ",
"postal_code": "853081099",
"country_code": "US",
"telephone_number": "480-821-3600",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "7342 E Thomas Rd Ste 105",
"address_purpose": "LOCATION",
"city": "Scottsdale",
"state": "AZ",
"postal_code": "852517243",
"country_code": "US",
"telephone_number": "480-821-3600",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "8410 W Thomas Rd Ste 134",
"address_purpose": "LOCATION",
"city": "Phoenix",
"state": "AZ",
"postal_code": "850373374",
"country_code": "US",
"telephone_number": "480-821-3600",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1634 S Priest Dr Ste 101",
"address_purpose": "LOCATION",
"city": "Tempe",
"state": "AZ",
"postal_code": "852816499",
"country_code": "US",
"telephone_number": "480-821-3600",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "9897 W McDowell Rd Ste 320",
"address_purpose": "LOCATION",
"city": "Tolleson",
"state": "AZ",
"postal_code": "853531625",
"country_code": "US",
"telephone_number": "480-821-3600",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1142 E Southern Ave Ste 101",
"address_purpose": "LOCATION",
"city": "Mesa",
"state": "AZ",
"postal_code": "852045056",
"country_code": "US",
"telephone_number": "480-821-3600",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "10240 W Indian School Rd Ste 100",
"address_purpose": "LOCATION",
"city": "Phoenix",
"state": "AZ",
"postal_code": "850375905",
"country_code": "US",
"telephone_number": "480-821-3600",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "MOMDOC, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-29",
"last_updated": "2025-08-25",
"certification_date": "2025-08-25",
"status": "A",
"authorized_official_last_name": "GOODMAN",
"authorized_official_first_name": "EARL",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "480-821-3600"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology",
"state": "AZ",
"license": null,
"primary": true
},
{
"code": "207VG0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology, Gynecology",
"state": "AZ",
"license": null,
"primary": false
},
{
"code": "207VX0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology, Obstetrics",
"state": "AZ",
"license": null,
"primary": false
},
{
"code": "363AM0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physician Assistant, Medical",
"state": "AZ",
"license": null,
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner",
"state": null,
"license": null,
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": null,
"license": null,
"primary": false
},
{
"code": "363LW0102X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Women's Health",
"state": "AZ",
"license": null,
"primary": false
},
{
"code": "367A00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Advanced Practice Midwife",
"state": "AZ",
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "342696",
"state": "AZ"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "MomDoc Mi Doctora",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "MomDoc Midwives",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "MomDoc Women for Women",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "MomDoc Women for Women",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "MomDoc Women's Health Research",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Chandler, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.