Organization Active NPI

Horizon OB-GYN PLC

Doing business as eddy ob/gyn plc

  • Obstetrics & Gynecology Physician
  • Chandler, AZ
National Provider Identifier
1760474019
Registry record updated May 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
19027 Issued in AZ
Legal business name
HORIZON OB-GYN PLC
Doing business as
eddy ob/gyn plc
Practice address
485 S Dobson Rd
#100
Chandler, AZ 85224-5602
Phone
(480) 899-3000
Fax
(480) 899-0527
NPI assigned
Aug 22, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 20, 2008

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

Authorized official

Name
Ms. Roxanne S Ailes
Title
Office Manager
Phone
(480) 899-3000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X 19027 AZ Primary

Addresses

Primary practice location

485 S Dobson Rd
#100
Chandler, AZ 85224-5602

Mailing address

215 S Dobson Rd
#1
Chandler, AZ 85224-6227
Phone (480) 899-3000

Other identifiers 1

IdentifierTypeStateIssuer
296956MedicaidAZ

Other names 1

  • eddy ob/gyn plc 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.

NPI Registry JSON

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

{
    "created_epoch": "1124668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211241600000",
    "number": "1760474019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 S DOBSON RD",
            "address_2": "#1",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852246227",
            "telephone_number": "480-899-3000",
            "fax_number": "480-899-0527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "485 S DOBSON RD",
            "address_2": "#100",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852245602",
            "telephone_number": "480-899-3000",
            "fax_number": "480-899-0527"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HORIZON OB-GYN PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-22",
        "last_updated": "2008-05-20",
        "status": "A",
        "authorized_official_last_name": "AILES",
        "authorized_official_first_name": "ROXANNE",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "480-899-3000",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "AZ",
            "license": "19027",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "296956",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "eddy ob/gyn plc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chandler, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2008; 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.