Mi Doctora

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

Legal business name

MI DOCTORA

Practice address

1142 E Southern Ave Ste C101
Mesa, AZ 85204-5055

Phone

(480) 782-7380

Fax

(480) 821-3610

NPI assigned

Jul 7, 2014

Last updated

Jul 7, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Heather Harner

Title

Credentialing

Phone

(480) 821-3610

Specialties & licenses 2

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

DRS Goodman Partridge2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Momdoc Midwives

  • Obstetrics & Gynecology Physician
  • Gilbert, AZ
  • NPI 1437565876
  NPD tax ID

Locations

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.

• Omar Antonio Andino-Ortega, MD

  • Obstetrics & Gynecology Physician
  • Mesa, AZ
  • NPI 1366028748
  NPD (past)

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

{
    "created_epoch": "1404691200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1404691200000",
    "number": "1851707293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2545 W FRYE RD STE 5",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852246273",
            "telephone_number": "480-821-3610",
            "fax_number": "480-821-3610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1142 E SOUTHERN AVE STE C101",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852045055",
            "telephone_number": "480-782-7380",
            "fax_number": "480-821-3610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MI DOCTORA",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-07",
        "last_updated": "2014-07-07",
        "status": "A",
        "authorized_official_last_name": "HARNER",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_title_or_position": "CREDENTIALING",
        "authorized_official_telephone_number": "480-821-3610"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Women's Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maritza Meza
• Mezona Orthopaedic PA
• Mfa Professionals, LLC
• MGT Psych LLC (Signature Mobile Specialists)
• MHB Services (Nathan Rex Duffin)
• Mi Gente Behavioral Health, PLLC
• Gwen Micci, M.S., BCBA, LBA
• Michael D Broadbent DDS PC
• Michael D Elliott DMD PC
• Michael J Hyneman DMD PC

• Obstetrics & Gynecology Physician in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Obstetrics & Gynecology Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.