Individual provider Active NPI

Anne Lauren Maiden- Hope, D.O.

  • Pediatrics Physician
  • Phoenix, AZ
National Provider Identifier
1336383330
Registry record updated May 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
005785 Issued in AZ
Practice address
9610 N. Metro Parkway
Phoenix, AZ 85051-8505
Phone
(602) 618-0002
Fax
(602) 248-8119
NPI assigned
Apr 22, 2009
Last updated
May 24, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 24, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 005785 AZ Primary

Addresses

Primary practice location

9610 N. Metro Parkway
Phoenix, AZ 85051-8505

Mailing address

9610 N. Metro Parkway
Phoenix, AZ 85051-5005

Other identifiers 1

IdentifierTypeStateIssuer
731373MedicaidAZ

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
I20121107000608 AZ Practitioner - Pediatric Medicine 7517118110 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Valle del Sol, Inc. CurrentSince Sep 4, 2018 Accepting new patients
Valle del Sol, Inc. Current Accepting new patients
Arbor Medical Partners, LLC Pediatrics Past Accepting new patients
Pediatric Associates PC Pediatrics Past Accepting new patients
Scottsdale Children's Group, PLLC Pediatrics Past Accepting new patients

Locations

1209 S 1st Ave
Phoenix, AZ 85003
Phone (602) 282-8006

3807 N 7th St
Phoenix, AZ 85014

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/11520/brand/1/csg/1/fhir/r4

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1240358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621814400000",
    "number": "1336383330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9610 N. METRO PARKWAY",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850515005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9610 N. METRO PARKWAY",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850518505",
            "telephone_number": "602-618-0002",
            "fax_number": "602-248-8119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAIDEN- HOPE",
        "first_name": "ANNE",
        "middle_name": "LAUREN",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-04-22",
        "last_updated": "2021-05-24",
        "certification_date": "2021-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "AZ",
            "license": "005785",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "731373",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.