Maricopa OBGYN

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

MARICOPA OBGYN

Practice address

1661 E Camelback Rd
Suite 160
Phoenix, AZ 85016-3911

Phone

(602) 241-1674

Fax

(602) 230-7982

NPI assigned

May 24, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Tracianne Johnson

Title

Hipaa Officer

Phone

(623) 551-0192

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1179964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1710198783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1661 E CAMELBACK RD",
            "address_2": "SUITE 160",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850163911",
            "telephone_number": "602-241-1674",
            "fax_number": "602-230-7982"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1661 E CAMELBACK RD",
            "address_2": "SUITE 160",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850163911",
            "telephone_number": "602-241-1674",
            "fax_number": "602-230-7982"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARICOPA OBGYN",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "TRACIANNE",
        "authorized_official_title_or_position": "HIPAA OFFICER",
        "authorized_official_telephone_number": "623-551-0192",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maricopa Crisis Recovery Network, Inc.
• Maricopa Integrated Health System
• Maricopa Integrated Health System
• Maricopa Integrated Health System
• Maricopa Mobile Med, Inc.
• Maricopa Physicians PLLC
• Maricopa Pulmonary Consultants LLC
• Maricopa Recovery Center LLC
• Maricopa Sleep Centers LLC
• Maricopa Surgical Assist

• Specialist in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Specialist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.