Individual provider Active NPI

Phillip Garza, M.D.

  • Obstetrics & Gynecology Physician
  • Gilbert, AZ
National Provider Identifier
1932335890
Registry record updated Aug 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
51259 Issued in AZ
Practice address
3367 S Mercy Rd Ste 207
Gilbert, AZ 85297-7604
Phone
(480) 855-5900
Fax
(480) 855-9171
NPI assigned
Jun 5, 2009
Last updated
Aug 15, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 51082 CO
Obstetrics & Gynecology Physician 207V00000X 51259 AZ Primary

Addresses

Primary practice location

3367 S Mercy Rd Ste 207
Gilbert, AZ 85297-7604

Mailing address

3367 S Mercy Rd Ste 207
Gilbert, AZ 85297-7604
Phone (480) 855-5900

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
I20170518002071 AZ Practitioner - Obstetrics/Gynecology 8527214949 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Boojum Obstetrics and GynecologyGroup PAC ID 1355471640, 2 clinicians

Practice addresses (Care Compare)

3367 S Mercy Rd
Suite 207
Gilbert, AZ 85297-7604
Phone (480) 855-5900

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
51259AZMDObstetrics & Gynecology Physician
51082COMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
PGKG LLC Obstetrics & Gynecology Current Accepting new patients
Boojum Obstetrics and Gynecology CurrentSince Mar 29, 2017 Accepting new patients
Dignity Health Past Accepting new patients

Locations

3367 S Mercy Rd
Ste 207
Gilbert, AZ 85297
Phone (480) 855-5900

Organizations & group practices 4

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": "1244160000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660521600000",
    "number": "1932335890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3367 S MERCY RD STE 207",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852977604",
            "telephone_number": "480-855-5900",
            "fax_number": "480-855-9171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3367 S MERCY RD STE 207",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852977604",
            "telephone_number": "480-855-5900",
            "fax_number": "480-855-9171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARZA",
        "first_name": "PHILLIP",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-06-05",
        "last_updated": "2022-08-15",
        "certification_date": "2022-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CO",
            "license": "51082",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "AZ",
            "license": "51259",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gilbert, AZ

Sources for this page

Verify at the official NPI Registry.