NPIMap

Organization Active NPI

Affinity GYN Inc.

Doing business as Affinity Medical

  • Medical Specialty Clinic/Center
  • Tempe, AZ
National Provider Identifier
1225167703
Registry record updated Jul 24, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
RN082443 Issued in AZ
Legal business name
AFFINITY GYN INC.
Doing business as
Affinity Medical
Practice address
6200 S McClintock Dr
#104
Tempe, AZ 85283-3268
Phone
(480) 388-3666
Fax
(480) 388-3667
NPI assigned
Mar 2, 2007
Last updated
Jul 24, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2012

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

Authorized official

Name
Patricia Ann Faust, NPNPI 1023267051
Title
President
Phone
(480) 874-2900

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Family Planning Facility 261QA0005X RN082443 AZ
Medical Specialty Clinic/Center 261QM2500X RN082443 AZ Primary

Addresses

Primary practice location

6200 S McClintock Dr
#104
Tempe, AZ 85283-3268

Mailing address

6200 S McClintock Dr
#104
Tempe, AZ 85283-3268
Phone (480) 388-3666

Other identifiers 1

IdentifierTypeStateIssuer
149395OtherAZAHCCCS NUMBER

Other names 1

  • Affinity Medical Doing business as

National Provider Directory

National Provider Directory

Locations

6200 S McClintock Dr
Ste 1
Tempe, AZ 85283
Phone (480) 839-0433

6200 S McClintock Dr
Ste 104
Tempe, AZ 85283
Phone (480) 388-3666

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1172793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1343088000000",
    "number": "1225167703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6200 S MCCLINTOCK DR",
            "address_2": "#104",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852833268",
            "telephone_number": "480-388-3666",
            "fax_number": "480-388-3667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6200 S MCCLINTOCK DR",
            "address_2": "#104",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852833268",
            "telephone_number": "480-388-3666",
            "fax_number": "480-388-3667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AFFINITY GYN INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-02",
        "last_updated": "2012-07-24",
        "status": "A",
        "authorized_official_last_name": "FAUST",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "480-874-2900",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "261QA0005X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Family Planning Facility",
            "state": "AZ",
            "license": "RN082443",
            "primary": false
        },
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "AZ",
            "license": "RN082443",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AHCCCS NUMBER",
            "identifier": "149395",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Affinity Medical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tempe, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 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.