Organization Active NPI

Ariana Obstetrics & Gynecology, LTD

  • Specialist
  • Phoenix, AZ
National Provider Identifier
1992768287
Registry record updated Jan 26, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
4579 Issued in AZ
Legal business name
ARIANA OBSTETRICS & GYNECOLOGY, LTD
Practice address
2150 E Highland Ave
101
Phoenix, AZ 85016-4718
Phone
(602) 266-8413
Fax
(602) 266-1821
NPI assigned
Apr 8, 2006
Last updated
Jan 26, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2010

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

Authorized official

Name
Walter Kenneth Lippard III, MD
Title
Physician
Phone
(602) 266-8413

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 4579 AZ Primary

Addresses

Primary practice location

2150 E Highland Ave
101
Phoenix, AZ 85016-4718

Mailing address

2150 E Highland Ave
101
Phoenix, AZ 85016-4718
Phone (602) 266-8413

Other identifiers 1

IdentifierTypeStateIssuer
250663MedicaidAZ

National Provider Directory

National Provider Directory

Locations

2150 E Highland Ave
Ste 101
Phoenix, AZ 85016
Phone (602) 266-8413

9755 N 90th St
#B285
Scottsdale, AZ 85258
Phone (602) 266-8413

NPI Registry JSON

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

{
    "created_epoch": "1144454400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1264464000000",
    "number": "1992768287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2150 E HIGHLAND AVE",
            "address_2": "101",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850164718",
            "telephone_number": "602-266-8413",
            "fax_number": "602-266-1821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2150 E HIGHLAND AVE",
            "address_2": "101",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850164718",
            "telephone_number": "602-266-8413",
            "fax_number": "602-266-1821"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARIANA OBSTETRICS & GYNECOLOGY, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-08",
        "last_updated": "2010-01-26",
        "status": "A",
        "authorized_official_last_name": "LIPPARD",
        "authorized_official_first_name": "WALTER",
        "authorized_official_middle_name": "KENNETH",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "602-266-8413",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "AZ",
            "license": "4579",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "250663",
            "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 Jan 26, 2010; 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.