Organization Active NPI

Women of Excellence Healthcare, PLLC

  • Obstetrics & Gynecology Physician
  • San Tan Valley, AZ
National Provider Identifier
1548575012
Registry record updated Nov 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
Legal business name
WOMEN OF EXCELLENCE HEALTHCARE, PLLC
Practice address
270 E Hunt Hwy
Ste 10
San Tan Valley, AZ 85143-4962
Phone
(480) 987-5500
Fax
(480) 987-5507
NPI assigned
Aug 9, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Vidalia Butler-Poku, MD
Title
Owner
Phone
(480) 987-5500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X Primary

Addresses

Primary practice location

270 E Hunt Hwy
Ste 10
San Tan Valley, AZ 85143-4962

Mailing address

270 E Hunt Hwy
Ste 10
San Tan Valley, AZ 85143-4962
Phone (480) 987-5500

Other identifiers 1

IdentifierTypeStateIssuer
941494MedicaidAZ

National Provider Directory

National Provider Directory

Locations

1491 N Arizona Blvd
Ste 10
Coolidge, AZ 85128
Phone (520) 759-7177

450 W Adamsville Rd
Florence, AZ 85132
Phone (520) 296-7169

4524 N Maryvale Pkwy
Ste 220
Phoenix, AZ 85031
Phone (623) 846-6653

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1281312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1353974400000",
    "number": "1548575012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "270 E HUNT HWY",
            "address_2": "STE 10",
            "city": "SAN TAN VALLEY",
            "state": "AZ",
            "postal_code": "851434962",
            "telephone_number": "480-987-5500",
            "fax_number": "480-987-5507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "270 E HUNT HWY",
            "address_2": "STE 10",
            "city": "SAN TAN VALLEY",
            "state": "AZ",
            "postal_code": "851434962",
            "telephone_number": "480-987-5500",
            "fax_number": "480-987-5507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOMEN OF EXCELLENCE HEALTHCARE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-09",
        "last_updated": "2012-11-27",
        "status": "A",
        "authorized_official_last_name": "BUTLER-POKU",
        "authorized_official_first_name": "VIDALIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-987-5500",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "941494",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Tan Valley, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.