Glendale Obstetrics and Gynecology PC

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

Legal business name

GLENDALE OBSTETRICS AND GYNECOLOGY PC

Practice address

5750 W Thunderbird
Suite D400
Glendale, AZ 85306

Phone

(602) 298-8977

Fax

(602) 298-1787

NPI assigned

Dec 8, 2006

Last updated

Mar 6, 2013By 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

Waddy McFall

Title

Administrator Sec Treas

Phone

(602) 298-8977

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kristin Jeanne Livingston, MD

  • Obstetrics & Gynecology Physician
  • Salem, OR
  • NPI 1831451061

  AZ

  Medicare reassignment NPD
• Diana Denise Heard, MD

  • Obstetrics & Gynecology Physician
  • Glendale, AZ
  • NPI 1184643306
  Medicare reassignment
• Rebecca M Branaman, M.D.

  • Obstetrics & Gynecology Physician
  • Peoria, AZ
  • NPI 1144289232
  NPD (past)
• Nicola Jane Maurer, WHNP-BC

  • Women's Health Nurse Practitioner
  • Glendale, AZ
  • NPI 1639471253
  NPD (past)
• Shannyn Brooke Werra, CNM

  • Obstetrics & Gynecology Physician
  • Glendale, AZ
  • NPI 1558246181
  NPD (past)

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

{
    "created_epoch": "1165536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1362528000000",
    "number": "1205996667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5750 W THUNDERBIRD",
            "address_2": "SUITE D400",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "85306",
            "telephone_number": "602-298-8977",
            "fax_number": "602-298-1787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5750 W THUNDERBIRD",
            "address_2": "SUITE D400",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "85306",
            "telephone_number": "602-298-8977",
            "fax_number": "602-298-1787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLENDALE OBSTETRICS AND GYNECOLOGY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-08",
        "last_updated": "2013-03-06",
        "status": "A",
        "authorized_official_last_name": "MCFALL",
        "authorized_official_first_name": "WADDY",
        "authorized_official_title_or_position": "ADMINISTRATOR SEC TREAS",
        "authorized_official_telephone_number": "602-298-8977"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Glendale Medical Clinic LLC
• Glendale Medical Investors Limited Partnership (Life Care Center of North Glendale)
• Glendale Medical Supply
• Glendale Modern Dentistry, LLP (Glendale Modern Dentistry)
• Glendale Pain Treatment Center
• Glendale Pediatrics LLC
• Glendale Redbird Co
• Glendale Redbird Co
• Glendale Regenerative Medicine

• Obstetrics & Gynecology Physician in Glendale, AZ
• Providers in Glendale, AZ by specialty
• Obstetrics & Gynecology Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2013; 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.