Premier OBGYN LLC

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

Legal business name

PREMIER OBGYN LLC

Practice address

1300 N 12TH St Ste 620
Phoenix, AZ 85006-2850

Phone

(602) 283-3668

Fax

(833) 471-4328

NPI assigned

Jun 16, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Michael J Hervey II, MD

Title

Ceo

Phone

(602) 283-3668

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 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 4

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

• Katherine Rose Anderson

  • Family Nurse Practitioner
  • Phoenix, AZ
  • NPI 1134095169
  NPD (past)
• Tracy Lee Burns, CNM

  • Advanced Practice Midwife
  • Goodyear, AZ
  • NPI 1417465865
  NPD (past)
• Mathena Jardine, NP

  • Family Nurse Practitioner
  • Phoenix, AZ
  • NPI 1265160378
  NPD (past)
• Jenasee Loretta South

  • Advanced Practice Midwife
  • Phoenix, AZ
  • NPI 1003679846
  NPD (past)

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

{
    "created_epoch": "1434412800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722297600000",
    "number": "1487035382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 33648",
            "city": "BELFAST",
            "state": "ME",
            "postal_code": "049150614",
            "telephone_number": "602-283-3668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 N 12TH ST STE 620",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850062850",
            "telephone_number": "602-283-3668",
            "fax_number": "833-471-4328"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER OBGYN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-16",
        "last_updated": "2024-07-30",
        "certification_date": "2024-07-30",
        "status": "A",
        "authorized_official_last_name": "HERVEY",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "602-283-3668",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Premier Innovative Care Services
• Premier Lab Solutions
• Premier Medical Integration LLC
• Premier Medical, Inc.
• Premier Mental Health Services
• Premier Orthotics and Braces LLC
• Premier Pain of Arizona PLLC
• Premier Pain Solutions
• Premier Pain Solutions, LLC
• Premier Pain Solutions, LLC

• Obstetrics & Gynecology Physician in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Obstetrics & Gynecology Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.