Organization Active NPI

Valley Urogynecology Associates LTD

  • Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
  • Phoenix, AZ
National Provider Identifier
1386839819
Registry record updated Feb 14, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) PhysicianTaxonomy code 207VF0040X
Legal business name
VALLEY UROGYNECOLOGY ASSOCIATES LTD
Practice address
1616 E Maryland Ave
Phoenix, AZ 85016-1302
Phone
(602) 788-1521
Fax
(602) 688-5420
NPI assigned
Sep 7, 2007
Last updated
Feb 14, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2014

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

Authorized official

Name
Anna P Downer
Title
Practice Manager
Phone
(602) 788-1521

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician 207VF0040X NU Primary

Addresses

Primary practice location

1616 E Maryland Ave
Phoenix, AZ 85016-1302

Mailing address

1616 E Maryland Ave
Phoenix, AZ 85016-1302
Phone (602) 788-1521

Other identifiers 1

IdentifierTypeStateIssuer
793526MedicaidAZ

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040621001789 AZ Part B Supplier - Clinic/Group Practice 6305821604 Receives reassigned benefits from 4 practitioners
Practice locations: Phoenix, AZ

National Provider Directory

National Provider Directory

Locations

1616 E Maryland Ave
Phoenix, AZ 85016
Phone (602) 241-1944

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/2540/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1189123200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1392336000000",
    "number": "1386839819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1616 E MARYLAND AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850161302",
            "telephone_number": "602-788-1521",
            "fax_number": "602-688-5420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1616 E MARYLAND AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850161302",
            "telephone_number": "602-788-1521",
            "fax_number": "602-688-5420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALLEY UROGYNECOLOGY ASSOCIATES LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-07",
        "last_updated": "2014-02-14",
        "status": "A",
        "authorized_official_last_name": "DOWNER",
        "authorized_official_first_name": "ANNA",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "602-788-1521"
    },
    "taxonomies": [
        {
            "code": "207VF0040X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "793526",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Feb 14, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.