Active NPI
Bridgeway Health Solutions
- Obstetrics & Gynecology Physician
- Tempe, AZ
National Provider Identifier
1992000764
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 1283
- Legal business name
- BRIDGEWAY HEALTH SOLUTIONS
- Practice address
- 1501 W Fountainhead Pkwy
Suite 201
Tempe, AZ 85282-1868 - Phone
- (866) 475-3129
- Fax
- (866) 687-0515
- NPI assigned
- Jan 25, 2011
- Organization subpart
- Yes
- Parent organization
- CENTENE
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Nicole Larson, VP,
- Title
- Compliance Officer
- Phone
- (866) 475-3129
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 1283 | AZ | Primary |
Addresses
Primary practice location
1501 W Fountainhead Pkwy
Suite 201
Tempe, AZ 85282-1868
Mailing address
1501 W Fountainhead Pkwy
Suite 201
Tempe, AZ 85282-1868
Phone (866) 475-3129
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 231241 | Medicaid | AZ |
Other names 1
- Centene Corporation
National Provider Directory
National Provider DirectoryLocations
1501 W Fountainhead Pkwy
Ste 201
Tempe, AZ 85282
Phone (480) 317-2141
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Obstetrics & Gynecology Physician
- Tempe, AZ
- NPI 1740587476
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1295913600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1295913600000",
"number": "1992000764",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1501 W FOUNTAINHEAD PKWY",
"address_2": "SUITE 201",
"city": "TEMPE",
"state": "AZ",
"postal_code": "852821868",
"telephone_number": "866-475-3129",
"fax_number": "866-687-0515"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1501 W FOUNTAINHEAD PKWY",
"address_2": "SUITE 201",
"city": "TEMPE",
"state": "AZ",
"postal_code": "852821868",
"telephone_number": "866-475-3129",
"fax_number": "866-687-0515"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BRIDGEWAY HEALTH SOLUTIONS",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "CENTENE",
"enumeration_date": "2011-01-25",
"last_updated": "2011-01-25",
"status": "A",
"authorized_official_last_name": "LARSON",
"authorized_official_first_name": "NICOLE",
"authorized_official_title_or_position": "COMPLIANCE OFFICER",
"authorized_official_telephone_number": "866-475-3129",
"authorized_official_credential": "VP,"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology",
"state": "AZ",
"license": "1283",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "231241",
"state": "AZ"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Centene Corporation",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Tempe, AZ
- Bridge Group Integrated Health Care Systems LLC
- Bridge to Balance Inc
- Bridge to Balance Inc
- Bridgepoint Medical Supply LLC
- Dawn Christia Bridges-Jones, DNP, PMHNP-BC, FNP-C
- Bridgeway Health Solutions of Arizona, Inc.
- Bridging the Gap Homecare LLC
- Debra K Briggs, RDH
- Bright Bloom Healthcare LLC
- Brightchoice Health Services, PLLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.