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

Last updated

Jul 30, 2024By 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

Dr. Michael J Hervey II, MDNPI 1922132414

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 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Michael Jerome Hervey II, M.D.

  • Obstetrics & Gynecology Physician
  • Phoenix, AZ
  • NPI 1922132414
  Authorized official Same address or phone
• 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.