Omnia Women'S Health Center, PLLC

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

Legal business name

OMNIA WOMEN'S HEALTH CENTER, PLLC

Practice address

1170 N Estrella Pkwy Ste A107
Goodyear, AZ 85338-9276

Phone

(623) 263-0105

Fax

(623) 263-0105

NPI assigned

Oct 5, 2021

Organization subpart

No

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

Authorized official

Name

Anjulie Broderick, CNMNPI 1518354927

Title

Owner

Phone

(928) 287-7158

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Anjulie Broderick

  • Advanced Practice Midwife
  • Goodyear, AZ
  • NPI 1518354927
  Medicare reassignment NPD Authorized official
• Laurie M Allen, D.O.

  • Obstetrics & Gynecology Physician
  • Goodyear, AZ
  • NPI 1801093794
  Medicare reassignment NPD
• Erin Nicole Syers, DO

  • Obstetrics & Gynecology Physician
  • Gilbert, AZ
  • NPI 1063772010
  Medicare reassignment NPD
• Dominique Wilson, CNM

  • Midwife
  • Goodyear, AZ
  • NPI 1518567874
  Medicare reassignment NPD

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

{
    "created_epoch": "1633392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1633392000000",
    "number": "1679245807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1170 N ESTRELLA PKWY STE A107",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853389276",
            "telephone_number": "623-263-0105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1170 N ESTRELLA PKWY STE A107",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853389276",
            "telephone_number": "623-263-0105",
            "fax_number": "623-263-0105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OMNIA WOMEN'S HEALTH CENTER, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-05",
        "last_updated": "2021-10-05",
        "certification_date": "2021-10-05",
        "status": "A",
        "authorized_official_last_name": "BRODERICK",
        "authorized_official_first_name": "ANJULIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "928-287-7158",
        "authorized_official_credential": "CNM"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Madison Oliva
• Jeffrey Olmstead, DO
• Omaa Transportation LLC
• Caroline Nyaboke Ombuna, FNP-C
• Jennifer A Omeal, AGACNP-BC
• Amy Ong
• Ashley Ong
• Gloria Ong, MD
• Optimal Health and Wellness Center PLLC
• Optimal Mens Center PLLC

• Obstetrics & Gynecology Physician in Goodyear, AZ
• Providers in Goodyear, AZ by specialty
• Obstetrics & Gynecology Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.