Individual provider Active NPI

Maja Davidson, MD

  • Endocrinology, Diabetes & Metabolism Physician
  • Phoenix, AZ
National Provider Identifier
1841555901
Registry record updated Apr 28, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
47522 Issued in AZ
Practice address
15640 N 28TH Dr
Phoenix, AZ 85053-4059
Phone
(602) 439-9000
Fax
(602) 513-8387
NPI assigned
Jul 5, 2012
Last updated
Apr 28, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X 47522 AZ Primary

Addresses

Primary practice location

15640 N 28TH Dr
Phoenix, AZ 85053-4059

Mailing address

15640 N 28TH Dr
Phoenix, AZ 85053-4059
Phone (602) 439-9000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170606000343 AZ Practitioner - EndocrinologyPractitioner - Internal Medicine 2769617224 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
EndocrinologyAlso: Internal Medicine
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Arizona Endocrinology Center PLCGroup PAC ID 0749365781, 10 clinicians

Practice addresses (Care Compare)

15640 N 28TH Dr
Phoenix, AZ 85053-4059
Phone (602) 439-9623

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Arizona Endocrinology Center, PLC CurrentSince Jul 1, 2017 Accepting new patients
Arizona Endocrinology Center, PLC Current Accepting new patients
Arizona Endocrinology Center, PLC CurrentSince Jul 1, 2017 Accepting new patients

Locations

3530 S Val Vista Dr
Ste C202
Gilbert, AZ 85297
Phone (480) 240-8815

4100 S Lindsay Rd
Ste 130
Gilbert, AZ 85297
Phone (480) 728-9531

5130 W Thunderbird Rd
Ste 1
Glendale, AZ 85306
Phone (602) 439-9000

15640 N 28th Dr
Phoenix, AZ 85053
Phone (602) 439-9000

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/FHHBBA
  • Direct secure messaging: mdavidson20981@directhoustonmethodist.org

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1341446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493337600000",
    "number": "1841555901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15640 N 28TH DR",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850534059",
            "telephone_number": "602-439-9000",
            "fax_number": "602-513-8387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15640 N 28TH DR",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850534059",
            "telephone_number": "602-439-9000",
            "fax_number": "602-513-8387"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIDSON",
        "first_name": "MAJA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-05",
        "last_updated": "2017-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "AZ",
            "license": "47522",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.