Provider Demographics
NPI:1104863588
Name:BETHANY WOMENS HEALTHCARE
Entity Type:Organization
Organization Name:BETHANY WOMENS HEALTHCARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ALAN
Authorized Official - Middle Name:A
Authorized Official - Last Name:SCHAPKER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:602-973-3200
Mailing Address - Street 1:3660 W BETHANY HOME RD
Mailing Address - Street 2:STE A
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85019-1953
Mailing Address - Country:US
Mailing Address - Phone:602-973-3200
Mailing Address - Fax:602-973-0508
Practice Address - Street 1:3660 W BETHANY HOME RD
Practice Address - Street 2:STE A
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85019-1953
Practice Address - Country:US
Practice Address - Phone:602-973-3200
Practice Address - Fax:602-973-0508
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-02
Last Update Date:2009-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ067422Medicaid
AZ710360Medicaid
AZ229668Medicaid
AZ067422Medicaid
AZ710360Medicaid
AZD35812Medicare UPIN
AZ315507463Medicare ID - Type UnspecifiedALAN A. SCHAPKER, M.D.
AZ75458Medicare ID - Type UnspecifiedSCOTT A. SCHAPKER, M.D.
AZ229668Medicaid