Momdoc, Llc

LBN: Momdoc, Llc
Momdoc, Llc is an health care organization with primary practice located at 2545 W Frye Rd Ste 5, Chandler AZ 85224-6273. The organization recently has 6 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, Allopathic & Osteopathic Physicians / Gynecology, Allopathic & Osteopathic Physicians / Obstetrics, Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Women's Health, Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife. Allopathic & Osteopathic Physicians / Obstetrics & Gynecology is the primary health care specialty. Momdoc, Llc can be contacted via phone (480) 821-3600, or through Goodman, Clifford J via phone (480) 821-3610.

Contact Information

Primary practice address
2545 W Frye Rd Ste 5 Chandler AZ 85224-6273
Phone: (480) 821-3600
Fax: (480) 857-2667
Website:
Map and Directions
Authorized official contact:
Name: Goodman, Clifford J Doctor of Medicine (MD)
Phone: (480) 821-3610

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X Arizona
Allopathic & Osteopathic Physicians / Gynecology 207VG0400X Arizona
Allopathic & Osteopathic Physicians / Obstetrics 207VX0000X Arizona
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X Arizona
Physician Assistants & Advanced Practice Nursing Providers / Women's Health 363LW0102X Arizona
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X Arizona

Profile Details

NPI number 1184780355
LBN Legal business name Momdoc, Llc
DBA Doing business as
Authorized official Goodman, Clifford J Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 29th, 2006
Last updated Mar 17th, 2016 - about 8 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1184780355 NPPES
Arizona MEDICAID 342696

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