Boojum Obstetrics and Gynecology

Primary specialty

SpecialistTaxonomy code 174400000X

License

AZ12769 Issued in AZ

Legal business name

BOOJUM OBSTETRICS AND GYNECOLOGY

Practice address

3367 S Mercy Rd Ste 207
Gilbert, AZ 85297-7604

Phone

(480) 855-5900

Fax

(480) 855-9171

NPI assigned

May 17, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Phillip G Garza, MDNPI 1932335890

Title

President

Phone

(480) 855-5900

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Locations

Practitioners 6

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

• Phillip Garza, M.D.

  • Obstetrics & Gynecology Physician
  • Gilbert, AZ
  • NPI 1932335890
  Medicare reassignment Care Compare group NPD Authorized official
• Michelle Whitt, WHNP

  • Obstetrics & Gynecology Nurse Practitioner
  • Gilbert, AZ
  • NPI 1760844989
  Medicare reassignment Care Compare group NPD
• Kathleen Reilly Casey, CNM

  • Advanced Practice Midwife
  • Mesa, AZ
  • NPI 1508508763
  Medicare reassignment NPD
• Carissa Noriega, FNP-C

  • Nurse Practitioner
  • Mesa, AZ
  • NPI 1154874790
  Medicare reassignment NPD
• Venessa Joan Thompson, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Phoenix, AZ
  • NPI 1801809702
  Medicare reassignment NPD
• Cynthia Elizabeth Shelton, WHNP

  • Women's Health Nurse Practitioner
  • Mesa, AZ
  • NPI 1245263680
  NPD (past)

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

{
    "created_epoch": "1274054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1594684800000",
    "number": "1912225806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3367 S MERCY RD STE 207",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852977604",
            "telephone_number": "480-855-5900",
            "fax_number": "480-855-9171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3367 S MERCY RD STE 207",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852977604",
            "telephone_number": "480-855-5900",
            "fax_number": "480-855-9171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOOJUM OBSTETRICS AND GYNECOLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-17",
        "last_updated": "2020-07-14",
        "certification_date": "2020-07-14",
        "status": "A",
        "authorized_official_last_name": "GARZA",
        "authorized_official_first_name": "PHILLIP",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "480-855-5900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "AZ",
            "license": "AZ12769",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chayla Bonelli
• Bonhoeffer Rheumatology Institute, LLC
• Sara Mari Bonit, LCSW
• Emilie Bonkrud
• Jerry Bono
• Charles Michael Bookman, CMT
• Claude Boone Jr.
• Mary Boontung
• Allyson Elaine Booth, RD
• Mary J Bootz, FNP

• Specialist in Gilbert, AZ
• Providers in Gilbert, AZ by specialty
• Specialist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2020; 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.