Organization Active NPI

Morning Star Obstetrics & Gynecology PC

  • Obstetrics & Gynecology Physician
  • Gilbert, AZ
National Provider Identifier
1376557371
Registry record updated Feb 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
Legal business name
MORNING STAR OBSTETRICS & GYNECOLOGY PC
Practice address
3499 S Mercy Rd
Gilbert, AZ 85297-0437
Phone
(480) 355-8525
Fax
(480) 355-3115
NPI assigned
Jul 28, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2020

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

Authorized official

Name
Dr. Clinton Joseph Leonard, MDNPI 1770575920
Title
President
Phone
(480) 355-8525

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207V00000X Primary
Pediatrics PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208000000X

Addresses

Primary practice location

3499 S Mercy Rd
Gilbert, AZ 85297-0437

Mailing address

3499 S Mercy Rd
Gilbert, AZ 85297-0437
Phone (480) 355-8525

Other identifiers 1

IdentifierTypeStateIssuer
316526MedicaidAZ

Other names 1

  • Morning Star Obstetrics and Gynecology Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050718000570 AZ Part B Supplier - Clinic/Group Practice 0648207043 Receives reassigned benefits from 6 practitioners
Practice locations: Gilbert, AZ

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
03D1043219Morning Star Obstetrics/Gynecology, PC3499 S Mercy Rd, Gilbert, AZ 85297Provider-performed microscopyJul 18, 2027

National Provider Directory

National Provider Directory

Locations

3499 S Mercy Rd
Gilbert, AZ 85297
Phone (480) 355-8525

3499 S Mercy Rd
Ste 113
Gilbert, AZ 85297

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1154044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1582848000000",
    "number": "1376557371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3499 S MERCY RD",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852970437",
            "telephone_number": "480-355-8525",
            "fax_number": "480-355-3115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3499 S MERCY RD",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852970437",
            "telephone_number": "480-355-8525",
            "fax_number": "480-355-3115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MORNING STAR OBSTETRICS & GYNECOLOGY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-28",
        "last_updated": "2020-02-28",
        "certification_date": "2020-02-28",
        "status": "A",
        "authorized_official_last_name": "LEONARD",
        "authorized_official_first_name": "CLINTON",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "480-355-8525",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "316526",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Morning Star Obstetrics and Gynecology",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Morning Star Obstetrics and Gynecology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Gilbert, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.