Organization Active NPI

Samaritan Obstetrics & Gynecology LTD

  • Obstetrics & Gynecology Physician
  • Mesa, AZ
National Provider Identifier
1407967391
Registry record updated Mar 23, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
Legal business name
SAMARITAN OBSTETRICS & GYNECOLOGY LTD
Practice address
1500 S Dobson Rd
Suite 311
Mesa, AZ 85202-4713
Phone
(480) 969-5958
NPI assigned
Aug 31, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2010

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

Authorized official

Name
Roger B Seymann, MD
Title
President/Owner
Phone
(480) 969-5958

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X Primary

Addresses

Primary practice location

1500 S Dobson Rd
Suite 311
Mesa, AZ 85202-4713

Mailing address

1500 S Dobson Rd
Suite 311
Mesa, AZ 85202-4713
Phone (480) 969-5958

Other identifiers 3

IdentifierTypeStateIssuer
AZ0050300OtherAZBCBS
251223MedicaidAZ
1Z6092OtherAZHEALTHNET

National Provider Directory

National Provider Directory

Locations

1500 S Dobson Rd
Ste 311
Mesa, AZ 85202
Phone (480) 969-5958

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1269302400000",
    "number": "1407967391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 S DOBSON RD",
            "address_2": "SUITE 311",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852024713",
            "telephone_number": "480-969-5958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 S DOBSON RD",
            "address_2": "SUITE 311",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852024713",
            "telephone_number": "480-969-5958"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAMARITAN OBSTETRICS & GYNECOLOGY LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2010-03-23",
        "status": "A",
        "authorized_official_last_name": "SEYMANN",
        "authorized_official_first_name": "ROGER",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "480-969-5958",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "AZ0050300",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "251223",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET",
            "identifier": "1Z6092",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2010; 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.