Women's Medical Group of Tempe

Primary specialty

SpecialistTaxonomy code 174400000X

License

33219 Issued in AZ

Legal business name

WOMEN'S MEDICAL GROUP OF TEMPE

Doing business as

East Valley Women's Medical Group

Practice address

4915 E Baseline Rd Ste 104
Gilbert, AZ 85234-2966

Phone

(480) 632-2004

NPI assigned

Jun 25, 2008

Last updated

Oct 15, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Claudia Maria Sevillano

Title

Supervisor/ Biller

Phone

(480) 632-2004

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• East Valley Women's Medical Group Doing business as

Locations

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

{
    "created_epoch": "1214352000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1224028800000",
    "number": "1417119108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4915 E BASELINE RD STE 104",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852342966",
            "telephone_number": "480-632-2004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4915 E BASELINE RD STE 104",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852342966",
            "telephone_number": "480-632-2004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOMEN'S MEDICAL GROUP OF TEMPE",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-25",
        "last_updated": "2008-10-15",
        "status": "A",
        "authorized_official_last_name": "SEVILLANO",
        "authorized_official_first_name": "CLAUDIA",
        "authorized_official_middle_name": "MARIA",
        "authorized_official_title_or_position": "SUPERVISOR/ BILLER",
        "authorized_official_telephone_number": "480-632-2004",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "AZ",
            "license": "33219",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "83790",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "East Valley Women's Medical Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Angela May Wolff
• Robert William Wolff, D.C.
• Jacob John Wolfrum, DPM
• Lauren Wolkove
• Women's Health Innovations of Arizona
• Andrew Wong, M.D.
• Bryan Y Wong, MD PHD
• Danny Wong
• Denise Linlee Wong, M.A. CF-SLP
• Fai Wong, DPM

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2008; 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.