Fertility Treatment Center, LLC

Primary specialty

Reproductive Endocrinology PhysicianTaxonomy code 207VE0102X

License

98029 Issued in AZ

Legal business name

FERTILITY TREATMENT CENTER, LLC

Practice address

2155 E Conference Dr Ste 115
Tempe, AZ 85284-2604

Phone

(480) 831-2445

Fax

(480) 897-1283

NPI assigned

Jan 21, 2008

Organization subpart

No

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

Authorized official

Name

Jason Bryant Babcock

Title

Ceo

Phone

(480) 831-2445

Specialties & licenses 1

Addresses

Tax ID family

Fertility Treatment Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Fertility Treatment Center, LLC

  • Ambulatory Fertility Facility
  • Tempe, AZ
  • NPI 1821252859
  NPD tax ID

Locations

Practitioners 1

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

• H Randall Craig, M.D.

  • Reproductive Endocrinology Physician
  • Tempe, AZ
  • NPI 1144280249
  NPD (past)

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

{
    "created_epoch": "1200873600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707264000000",
    "number": "1396921367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2155 E CONFERENCE DR",
            "address_2": "SUITE 115",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852842604",
            "telephone_number": "480-831-2445",
            "fax_number": "480-897-1283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2155 E CONFERENCE DR STE 115",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852842604",
            "telephone_number": "480-831-2445",
            "fax_number": "480-897-1283"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FERTILITY TREATMENT CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-21",
        "last_updated": "2024-02-07",
        "certification_date": "2024-02-07",
        "status": "A",
        "authorized_official_last_name": "BABCOCK",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "BRYANT",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "480-831-2445"
    },
    "taxonomies": [
        {
            "code": "207VE0102X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology, Reproductive Endocrinology",
            "state": "AZ",
            "license": "98029",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa Ferguson, RN
• Shalise Fernander
• Hermina Deepika Fernandes, MBBS, FACP
• Isabel Fernandes, LSW
• Vanessa Ferreira, ND
• Fertility Treatment Center, LLC
• Susan L Fetter, OTR
• Michelle Fettig, DPT
• Ryan Fiedler, MA
• Thomas C Fiel, D.O.

• Reproductive Endocrinology Physician in Tempe, AZ
• Providers in Tempe, AZ by specialty
• Reproductive Endocrinology Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2024; 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.