Active NPI
Diane Elizabeth Hlavacek, MD
- Obstetrics & Gynecology Physician
- Phoenix, AZ
National Provider Identifier
1255423539
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- AZ31335
- Practice address
- 16641 N 40TH Street
Suite 2
Phoenix, AZ 85032-3343 - Phone
- (602) 482-2929
- Fax
- (602) 482-4976
- NPI assigned
- Sep 28, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | AZ31335 | AZ | Primary |
Addresses
Primary practice location
16641 N 40TH Street
Suite 2
Phoenix, AZ 85032-3343
Mailing address
16641 N 40TH Street
Suite 2
Phoenix, AZ 85032-3343
Phone (602) 482-2929
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 788169 | Medicaid | AZ |
Other names 1
- Diane Elizabeth Robinson
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AZ31335 | AZ | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Arizona Women'S Care | Obstetrics & Gynecology | Past | Accepting new patients |
Interoperability endpoints
- https://api.platform.athenahealth.com/2295/brand/1/csg/1/fhir/r4
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Obstetrics & Gynecology Physician
- Scottsdale, AZ
- NPI 1922234772
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159401600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1255423539",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16641 N 40TH STREET",
"address_2": "SUITE 2",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850323343",
"telephone_number": "602-482-2929",
"fax_number": "602-482-4976"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16641 N 40TH STREET",
"address_2": "SUITE 2",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850323343",
"telephone_number": "602-482-2929",
"fax_number": "602-482-4976"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HLAVACEK",
"first_name": "DIANE",
"middle_name": "ELIZABETH",
"name_prefix": "Mrs.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-28",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "AZ",
"license": "AZ31335",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "788169",
"state": "AZ"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "DIANE",
"last_name": "ROBINSON",
"middle_name": "ELIZABETH",
"credential": "MD",
"code": "5",
"type": "Other Name"
}
]
}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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.