EMILY CAROLINE FANNING MD
NPI 1063902377
Obstetrics & Gynecology in Glendale, AZ

Q: What is Emily Fanning's NPI number?

The NPI number for Emily Fanning is 1063902377. It was assigned to this individual provider in the NPPES registry on May 11, 2018.

Q: What is Emily Fanning's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Q: When was this NPI record last updated?

The NPPES record for Emily Fanning was last updated on August 29, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since May 11, 2018PECOS Enrolled

6678 W THUNDERBIRD RD, GLENDALE, AZ 85306(026) 978-1500(602) 978-0409 Get Directions Write a Review

NPPES record last updated: August 29, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 29, 2022, May 11, 2018 (2 updates tracked since 2018).

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About Emily Caroline Fanning Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EMILY CAROLINE FANNING MD (NPI 1063902377) is an individual obstetrics & gynecology provider in Glendale, Arizona, licensed in Arizona (65939) and active in the NPI registry since May 2018. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1063902377

Entity TypeIndividualFemale

Primary Taxonomy207V00000X

Provider Legal NameEMILY CAROLINE FANNINGCredential: MD

Location Address6678 W THUNDERBIRD RDGlendale, AZ 85306-3721

Mailing Address6678 W Thunderbird RdGlendale, AZ 85306-3721 · (026) 978-1500 · Fax (602) 978-0409

Phone(026) 978-1500

Fax(602) 978-0409

Sole ProprietorNo

Enumeration DateMay 11, 2018

Last NPPES UpdateAugust 29, 20222 updates tracked since enumeration

NPPES CertifiedAugust 29, 2022

✔ NPI 1063902377 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians

Taxonomy Code207V00000X

License✔ Licensed in AZ · 65939

Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

6678 W THUNDERBIRD RD, Glendale, AZ 85306

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Other Identifiers 1

Medicaid164270AZ

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Arizona.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Emily Caroline Fanning Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85306 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$127.71 typical visit price

range $55.44 – $168.60

Typical copayment $31.92 (range $13.86 – $42.15)

Most-billed visit code 99204

Established Patient

$69.24 typical visit price

range $17.72 – $137.41

Typical copayment $17.31 (range $4.43 – $34.35)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. ELIZABETH V MAHOUR-MOYER M.D.

Obstetrics & Gynecology