Organization Active NPI

OB&G Professional Limited Liability Company

Doing business as OB&G Professional LTD

  • Anesthesiology Physician
  • Phoenix, AZ
National Provider Identifier
1740232768
Registry record updated Mar 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
Legal business name
OB&G PROFESSIONAL LIMITED LIABILITY COMPANY
Doing business as
OB&G Professional LTD
Practice address
300 W Clarendon Ave
Suite 142
Phoenix, AZ 85013-3449
Phone
(602) 234-1803
Fax
(602) 234-3748
NPI assigned
May 17, 2006
Last updated
Mar 4, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2016

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

Authorized official

Name
David J Kush, M.D.
Title
Director
Phone
(602) 234-1803

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X Primary

Addresses

Primary practice location

300 W Clarendon Ave
Suite 142
Phoenix, AZ 85013-3449

Mailing address

PO Box 36680
Phoenix, AZ 85067-6680
Phone (602) 234-1803

Other identifiers 1

IdentifierTypeStateIssuer
173807MedicaidAZ

Other names 1

  • OB&G PROFESSIONAL LTD Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1457049600000",
    "number": "1740232768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 36680",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850676680",
            "telephone_number": "602-234-1803",
            "fax_number": "602-234-3748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 W CLARENDON AVE",
            "address_2": "SUITE 142",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850133449",
            "telephone_number": "602-234-1803",
            "fax_number": "602-234-3748"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OB&G PROFESSIONAL LIMITED LIABILITY COMPANY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-17",
        "last_updated": "2016-03-04",
        "status": "A",
        "authorized_official_last_name": "KUSH",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "602-234-1803",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "173807",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "OB&G PROFESSIONAL LTD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 4, 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.