Individual provider Active NPI

Ana M Spence, M.D.

  • Maternal & Fetal Medicine Physician
  • Phoenix, AZ
National Provider Identifier
1497866438
Registry record updated Dec 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Maternal & Fetal Medicine PhysicianTaxonomy code 207VM0101X
License
01054663A Issued in IN
Practice address
2222 E Highland Ave Ste 210
Phoenix, AZ 85016-4876
Phone
(480) 866-8787
Fax
(480) 863-9770
NPI assigned
Aug 31, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Maternal & Fetal Medicine Physician 207VM0101X 01054663A IN Primary

Addresses

Primary practice location

2222 E Highland Ave Ste 210
Phoenix, AZ 85016-4876

Mailing address

4343 N Scottsdale Rd Ste 150
Scottsdale, AZ 85251-3351
Phone (480) 866-8787

Other practice location 1

1840 S Stapley Dr Ste 131
Mesa, AZ 85204-6683
Phone (480) 866-8787

Other identifiers 1

IdentifierTypeStateIssuer
200332220AMedicaidIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071024000170 AZ Practitioner - Obstetrics/GynecologyPractitioner - Pediatric MedicinePractitioner - Other (Physician) 7416933684 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
01054663AINMDMaternal & Fetal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Banner - University Physician Specialists LLC CurrentSince Nov 5, 2020 Accepting new patients
Hera Health Medical Group - Az PLLC Maternal & Fetal Medicine CurrentSince Oct 24, 2022 Accepting new patients
Banner - University Physician Specialists LLC CurrentSince Nov 5, 2020 Accepting new patients

Locations

1400 S Dobson Rd
Mesa, AZ 85202
Phone (480) 412-3000

1840 S Stapley Dr
Ste 131
Mesa, AZ 85204
Phone (480) 866-8787

1441 N 12th St
Ste 3
Phoenix, AZ 85006

1111 E McDowell Rd
Phoenix, AZ 85006
Phone (602) 239-2000

1441 N 12th St
Fl 2AND3
Phoenix, AZ 85006

1441 N 12th St
Fl 2
Phoenix, AZ 85006
Phone (602) 521-5180

1300 N 12th St
Ste 508
Phoenix, AZ 85006
Phone (602) 839-3927

1441 N 12th St
Fl 3
Phoenix, AZ 85006
Phone (602) 521-5700

2222 E Highland Ave
Ste 210
Phoenix, AZ 85016
Phone (480) 661-1332

4343 N Scottsdale Rd
Ste 150
Scottsdale, AZ 85251
Phone (480) 663-4450

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670544000000",
    "number": "1497866438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4343 N SCOTTSDALE RD STE 150",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852513351",
            "telephone_number": "480-866-8787",
            "fax_number": "480-863-9770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2222 E HIGHLAND AVE STE 210",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850164876",
            "telephone_number": "480-866-8787",
            "fax_number": "480-863-9770"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1840 S Stapley Dr Ste 131",
            "address_purpose": "LOCATION",
            "city": "Mesa",
            "state": "AZ",
            "postal_code": "852046683",
            "country_code": "US",
            "telephone_number": "480-866-8787",
            "fax_number": "480-863-9770",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SPENCE",
        "first_name": "ANA",
        "middle_name": "M",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-31",
        "last_updated": "2022-12-09",
        "certification_date": "2022-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VM0101X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": "IN",
            "license": "01054663A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200332220A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.