Organization Active NPI

Nicholas Bujak MD, PLLC

Doing business as West Valley OBGYN

  • Obstetrics & Gynecology Physician
  • Phoenix, AZ
National Provider Identifier
1821484171
Registry record updated Nov 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
Legal business name
NICHOLAS BUJAK MD, PLLC
Doing business as
West Valley OBGYN
Practice address
4338 W Thomas Rd Ste 173
Phoenix, AZ 85031-3878
Phone
(602) 429-2239
NPI assigned
Apr 14, 2015
Last updated
Nov 20, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2024

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

Authorized official

Name
Mrs. Helen Bujak
Title
Office Manager
Phone
(623) 341-2825

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X
Obstetrics & Gynecology Physician 207V00000X Primary

Addresses

Primary practice location

4338 W Thomas Rd Ste 173
Phoenix, AZ 85031-3878

Mailing address

4338 W Thomas Rd Ste 173
Phoenix, AZ 85031-3878
Phone (602) 429-2239

Other names 1

  • West Valley OBGYN Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160411000026 AZ Part B Supplier - Clinic/Group Practice 5294033114 Receives reassigned benefits from 9 practitioners
Practice locations: Phoenix, AZ

National Provider Directory

National Provider Directory

Locations

2023 W Bethany Home Rd
Phoenix, AZ 85015
Phone (602) 246-2663

4338 W Thomas Rd
#117
Phoenix, AZ 85031

4338 W Thomas Rd
Ste 173
Phoenix, AZ 85031
Phone (602) 429-2239

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1428969600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732060800000",
    "number": "1821484171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4338 W THOMAS RD STE 173",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850313878",
            "telephone_number": "602-429-2239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4338 W THOMAS RD STE 173",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850313878",
            "telephone_number": "602-429-2239"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NICHOLAS BUJAK MD, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-14",
        "last_updated": "2024-11-20",
        "certification_date": "2024-11-20",
        "status": "A",
        "authorized_official_last_name": "BUJAK",
        "authorized_official_first_name": "HELEN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "623-341-2825",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "West Valley OBGYN",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.