Individual provider Active NPI

Jeffrey Blake Higley, MD

  • Obstetrics & Gynecology Physician
  • Phoenix, AZ
National Provider Identifier
1306281571
Registry record updated Jun 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
54563 Issued in AZ
Practice address
650 W Maryland Ave Ste 1
Phoenix, AZ 85013
Phone
(602) 792-0225
Fax
(602) 792-0244
NPI assigned
May 1, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 26, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X R73806 AZ
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X 54563 AZ Primary

Addresses

Primary practice location

650 W Maryland Ave Ste 1
Phoenix, AZ 85013

Mailing address

PO Box 748860
Atlanta, GA 30374
Phone (602) 792-0225

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210611000783 AZ Practitioner - Obstetrics/Gynecology 0143620286 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Texas a & M University System, HSC, College of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Women'S Care Arizona, LLCGroup PAC ID 6103215322, 36 clinicians

Practice addresses (Care Compare)

4747 N 7TH St
Suite 150
Phoenix, AZ 85014-3677
Phone (602) 240-2401

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
54563AZMDObstetrics & Gynecology Physician
R73806AZMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Women'S Care Arizona, LLC Single Specialty CurrentSince Oct 21, 2021 Accepting new patients
Banner - University Medical Center Phoenix Past Accepting new patients
Palm Valley Women'S Care, PLC Single Specialty Past Accepting new patients
C. Steven Plimpton Single Specialty Past Accepting new patients

Locations

10815 W McDowell Rd
Ste 301
Avondale, AZ 85392
Phone (623) 433-0106

3530 S Val Vista Dr
Ste 202
Gilbert, AZ 85297
Phone (480) 633-6868

6242 E Arbor Ave
Ste 107
Mesa, AZ 85206
Phone (480) 897-8000

640 W Maryland Ave
Ste 4
Phoenix, AZ 85013
Phone (602) 795-8122

515 E Thomas Rd
Phoenix, AZ 85012
Phone (602) 241-1717

650 W Maryland Ave
Ste 1
Phoenix, AZ 85013
Phone (602) 240-2401

4747 N 7th St
Ste 150
Phoenix, AZ 85014
Phone (602) 240-2401

650 W Maryland Ave
Ste 4
Phoenix, AZ 85013

9130 W Thomas Rd
Ste A-108
Phoenix, AZ 85037
Phone (623) 433-0106

4030 W Boy Scout Blvd
Ste 800
Tampa, FL 33607
Phone (813) 286-0333

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1367366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687737600000",
    "number": "1306281571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 748860",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "30374",
            "telephone_number": "602-792-0225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "650 W MARYLAND AVE STE 1",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "85013",
            "telephone_number": "602-792-0225",
            "fax_number": "602-792-0244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HIGLEY",
        "first_name": "JEFFREY",
        "middle_name": "BLAKE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-05-01",
        "last_updated": "2023-06-26",
        "certification_date": "2023-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "AZ",
            "license": "R73806",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "AZ",
            "license": "54563",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.