Organization Active NPI

Westridge OBGYN PC

  • Specialist
  • Phoenix, AZ
National Provider Identifier
1841497013
Registry record updated Apr 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
20584 Issued in AZ
Legal business name
WESTRIDGE OBGYN PC
Practice address
8410 W Thomas Rd BLDG 3
Suite 134
Phoenix, AZ 85037-3329
Phone
(623) 247-1100
Fax
(623) 849-9004
NPI assigned
Jun 29, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2008

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

Authorized official

Name
Mrs. Dora Olivia Harris
Title
Office Manager
Phone
(623) 247-1100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 20584 AZ Primary

Addresses

Primary practice location

8410 W Thomas Rd BLDG 3
Suite 134
Phoenix, AZ 85037-3329

Mailing address

8410 W Thomas Rd BLDG 3
Suite 134
Phoenix, AZ 85037-3329
Phone (623) 247-1100

Other identifiers 2

IdentifierTypeStateIssuer
141359OtherAZLORENZO C. BOYCE MD
154302OtherAZROBERT L. GALLAI

National Provider Directory

National Provider Directory

Locations

8410 W Thomas Rd
Ste 134
Phoenix, AZ 85037
Phone (623) 247-1100

Practitioners & affiliated clinicians

Practitioners 3

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": "1183075200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207872000000",
    "number": "1841497013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8410 W THOMAS RD BLDG 3",
            "address_2": "SUITE 134",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850373329",
            "telephone_number": "623-247-1100",
            "fax_number": "623-849-9004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8410 W THOMAS RD BLDG 3",
            "address_2": "SUITE 134",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850373329",
            "telephone_number": "623-247-1100",
            "fax_number": "623-849-9004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTRIDGE OBGYN PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-29",
        "last_updated": "2008-04-11",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "DORA",
        "authorized_official_middle_name": "OLIVIA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "623-247-1100",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "AZ",
            "license": "20584",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LORENZO C. BOYCE MD",
            "identifier": "141359",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ROBERT L. GALLAI",
            "identifier": "154302",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Apr 11, 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.