Provider Demographics
NPI:1619944170
Name:OASIS OBSTETRICS & GYNECOLOGY, PLC
Entity Type:Organization
Organization Name:OASIS OBSTETRICS & GYNECOLOGY, PLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:SHELLY
Authorized Official - Middle Name:R
Authorized Official - Last Name:MESSER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:480-854-2676
Mailing Address - Street 1:81 W. GUADALUPE ROAD
Mailing Address - Street 2:SUITE 111
Mailing Address - City:GILBERT
Mailing Address - State:AZ
Mailing Address - Zip Code:85233
Mailing Address - Country:US
Mailing Address - Phone:480-854-2676
Mailing Address - Fax:480-854-3618
Practice Address - Street 1:81 W. GUADALUPE ROAD
Practice Address - Street 2:SUITE 111
Practice Address - City:GILBERT
Practice Address - State:AZ
Practice Address - Zip Code:85233
Practice Address - Country:US
Practice Address - Phone:480-854-2676
Practice Address - Fax:480-854-3618
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-03-03
Last Update Date:2014-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
207V00000X
AZ28636207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ561929Medicaid
AZ73112Medicare ID - Type Unspecified
AZH49171Medicare UPIN