Perinatal & Women'S Center

Primary specialty

SpecialistTaxonomy code 174400000X

License

29769 Issued in AZ

Legal business name

PERINATAL & WOMEN'S CENTER

Practice address

1837 W Guadalupe Rd Suite 114
Mesa, AZ 85202-7442

Phone

(480) 491-1600

NPI assigned

Jun 27, 2006

Organization subpart

No

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

Authorized official

Name

Dr. David A. Nyberg, M.D.

Title

Medical Director

Phone

(480) 491-1600

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• PWC Other name

Locations

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

{
    "created_epoch": "1151366400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1376570267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1837 W GUADALUPE RD SUITE 114",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852027442",
            "telephone_number": "480-491-1600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1837 W GUADALUPE RD SUITE 114",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852027442",
            "telephone_number": "480-491-1600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERINATAL & WOMEN'S CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-27",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "NYBERG",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "480-491-1600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "AZ",
            "license": "29769",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AZ PHYSICIAN LICENSE",
            "identifier": "29769",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PWC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Specialist in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Specialist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.