Gondra Center for Reproductive Care & Advanced Gynecology

Primary specialty

Gynecology PhysicianTaxonomy code 207VG0400X

License

44933 Issued in AZ

Legal business name

GONDRA CENTER FOR REPRODUCTIVE CARE & ADVANCED GYNECOLOGY

Practice address

20940 N Tatum Blvd
Ste B210
Phoenix, AZ 85050-4265

Phone

(480) 621-6203

Fax

(480) 621-6331

NPI assigned

Mar 15, 2016

Organization subpart

No

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

Authorized official

Name

Maria Gondra

Title

MD/Owner

Phone

(402) 490-5520

Specialties & licenses 1

Addresses

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Gondra Center for Ivf Laboratories

  • Clinical Medical Laboratory
  • Phoenix, AZ
  • NPI 1073973558
  NPPES parent name

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

{
    "created_epoch": "1458000000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1458000000000",
    "number": "1518328871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20940 N TATUM BLVD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850504265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20940 N TATUM BLVD",
            "address_2": "STE B210",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850504265",
            "telephone_number": "480-621-6203",
            "fax_number": "480-621-6331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GONDRA CENTER FOR REPRODUCTIVE CARE & ADVANCED GYNECOLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-15",
        "last_updated": "2016-03-15",
        "status": "A",
        "authorized_official_last_name": "GONDRA",
        "authorized_official_first_name": "MARIA",
        "authorized_official_title_or_position": "MD/OWNER",
        "authorized_official_telephone_number": "402-490-5520"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "AZ",
            "license": "44933",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gompers Habilitation Center
• Erica Gonani, SLPA
• Luis F Goncalves, MD
• Alexis Ann Gonder, OT
• Gondra Center for Ivf Laboratories
• Maria Mercedes Gondra, M.D.
• Abebe Molla Gonet, RPH
• Aleta Belinda Gong, O.D.
• Gerald D Gong, M.D.
• Shaquonda Gongora, RN

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2016; 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.