Maternal Fetal Medicine of Arizona LLC
NPI 1093050601ActiveOrganization· Obstetrics & Gynecology, Maternal & Fetal Medicine· Mesa, AZ
Obstetrics & Gynecology, Maternal & Fetal Medicine in Mesa, Arizona, registered in NPPES in December 2012. The authorized official on file is Ronald Andrew Russell, Chief Executive Officer.
Overview
| NPI | 1093050601 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Dec 7, 2012 |
| Last updated in NPPES | Jan 18, 2013 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Obstetrics & Gynecology, Maternal & Fetal Medicine Primary | 207VM0101X | 40444 | AZ |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other Obstetrics & Gynecology, Maternal & Fetal Medicine providers in Mesa
- 1255300802
- 1679537997
- 1891763504
- 1164481156
- 1912165713
- 1811951122
All Obstetrics & Gynecology, Maternal & Fetal Medicine providers in Arizona