NPIMap

Organization Active NPI

Fifth Avenue Gynecologists LTD

  • Specialist
  • Phoenix, AZ
National Provider Identifier
1508997719
Registry record updated Mar 5, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
4287 Issued in AZ
Legal business name
FIFTH AVENUE GYNECOLOGISTS LTD
Practice address
3033 W Bell Rd Ste 100
Phoenix, AZ 85053-3000
Phone
(602) 588-0316
Fax
(602) 588-0463
NPI assigned
Mar 8, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2009

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

Authorized official

Name
Dr. Richard C Zacher, MD
Title
President
Phone
(602) 588-0316

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 4287 AZ Primary

Addresses

Primary practice location

3033 W Bell Rd Ste 100
Phoenix, AZ 85053-3000

Mailing address

3033 W Bell Rd Ste 100
Phoenix, AZ 85053-3000
Phone (602) 588-0316

National Provider Directory

National Provider Directory

Locations

3033 W Bell Rd
Ste 100
Phoenix, AZ 85053
Phone (602) 588-0316

3033 W Bell Rd
Ste 102B
Phoenix, AZ 85053
Phone (602) 588-0316

Practitioners & affiliated clinicians

Practitioners 5

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

NPI Registry JSON

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

{
    "created_epoch": "1173312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1236211200000",
    "number": "1508997719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3033 W BELL RD STE 100",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850533000",
            "telephone_number": "602-588-0316",
            "fax_number": "602-588-0463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3033 W BELL RD STE 100",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850533000",
            "telephone_number": "602-588-0316",
            "fax_number": "602-588-0463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIFTH AVENUE GYNECOLOGISTS LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-08",
        "last_updated": "2009-03-05",
        "status": "A",
        "authorized_official_last_name": "ZACHER",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "602-588-0316",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "AZ",
            "license": "4287",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2009; 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.