Maian Pediatrics,PLLC

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

35463 Issued in AZ

Legal business name

MAIAN PEDIATRICS,PLLC

Practice address

30012 N Cave Creek Rd
Suite #101
Cave Creek, AZ 85331-5833

Phone

(480) 528-6502

NPI assigned

Mar 31, 2017

Organization subpart

No

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

Authorized official

Name

Thomas Donald Erskine, M.D.

Title

Member/Manager

Phone

(305) 804-0320

Specialties & licenses 1

Addresses

Other identifiers 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 2

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

• Cary Robert Bennett, PNP-BC

  • Pediatric Nurse Practitioner
  • Phoenix, AZ
  • NPI 1881825222
  NPD (past)
• Gabrielle Marie Green, FNP

  • Family Nurse Practitioner
  • Phoenix, AZ
  • NPI 1164288528
  NPD (past)

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

{
    "created_epoch": "1490918400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1511740800000",
    "number": "1437681129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30012 N CAVE CREEK RD",
            "address_2": "SUITE #101",
            "city": "CAVE CREEK",
            "state": "AZ",
            "postal_code": "853315833",
            "telephone_number": "480-912-6214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30012 N CAVE CREEK RD",
            "address_2": "SUITE #101",
            "city": "CAVE CREEK",
            "state": "AZ",
            "postal_code": "853315833",
            "telephone_number": "480-528-6502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAIAN PEDIATRICS,PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-31",
        "last_updated": "2017-11-27",
        "status": "A",
        "authorized_official_last_name": "ERSKINE",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "DONALD",
        "authorized_official_title_or_position": "MEMBER/MANAGER",
        "authorized_official_telephone_number": "305-804-0320",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "AZ",
            "license": "35463",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "126923",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lisa Joy Gordon LLC
• Elizabeth P Loofbourrow, MFT
• Henry Frank Lopez Jr., PHARMD
• Shelly Marie Lubbe
• Kelly Lucas
• Traci Mancuso, APRN
• Megan E Marks
• Sean Maroney
• Julia Marr
• William Michael Marsh, M.D.

• Pediatrics Physician in Cave Creek, AZ
• Providers in Cave Creek, AZ by specialty
• Pediatrics Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.