Organization Active NPI

Momdoc, LLC

  • Obstetrics & Gynecology Physician
  • Chandler, AZ
National Provider Identifier
1184780355
Registry record updated Aug 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
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

Updated by the provider on Aug 25, 2025

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)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207V00000X AZ Primary
Gynecology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207VG0400X AZ
Obstetrics PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207VX0000X AZ
Medical Physician AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 363AM0700X AZ
Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363L00000X
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X
Women's Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LW0102X AZ
Advanced Practice MidwifeGroup: 193200000X MULTI-SPECIALTY GROUP 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

IdentifierTypeStateIssuer
342696MedicaidAZ

Other names 4

  • MomDoc Mi Doctora Doing business as
  • MomDoc Midwives Doing business as
  • MomDoc Women for Women Doing business as
  • MomDoc Women's Health Research Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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 NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
03D0529519Momdoc2055 W Frye Rd Ste 9, Chandler, AZ 85224Provider-performed microscopyJan 3, 2027
03D1107250Momdoc5656 S Power Rd, Suite 137, Gilbert, AZ 85295Provider-performed microscopyJan 8, 2027
03D2198647Momdoc6320 W Union Hills Dr Suite 100, Glendale, AZ 85308Provider-performed microscopyNov 2, 2026
03D2228781Momdoc5171 Cub Lake Rd Ste 340 BLDG C, Show Low, AZ 85901Provider-performed microscopyJun 29, 2027

National Provider Directory

National Provider Directory

Locations (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.

View all 103

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.

Verify at the official NPI Registry.