Active NPI
Frank Moxley Sturdevant, M.D.
- Obstetrics & Gynecology Physician
- Green Valley, AZ
National Provider Identifier
1811142888
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 30146
- Practice address
- 1780 W Via de Anza
Green Valley, AZ 85622-4610 - Phone
- (520) 398-5450
- NPI assigned
- Nov 18, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 30146 | AZ | Primary |
Addresses
Primary practice location
1780 W Via de Anza
Green Valley, AZ 85622-4610
Mailing address
1780 W Via de Anza
Green Valley, AZ 85622-4610
Phone (520) 398-5450
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 30146 | AZ | MD | Obstetrics & Gynecology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1226966400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1226966400000",
"number": "1811142888",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1780 W VIA DE ANZA",
"city": "GREEN VALLEY",
"state": "AZ",
"postal_code": "856224610",
"telephone_number": "520-398-5450"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1780 W VIA DE ANZA",
"city": "GREEN VALLEY",
"state": "AZ",
"postal_code": "856224610",
"telephone_number": "520-398-5450"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STURDEVANT",
"first_name": "FRANK",
"middle_name": "MOXLEY",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-11-18",
"last_updated": "2008-11-18",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "AZ",
"license": "30146",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Green Valley, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 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.