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OMNIA WOMEN'S HEALTH CENTER, PLLC
NPI 1679245807
Obstetrics & Gynecology in Goodyear, AZ

Active since October 05, 2021CLIA 03D2248016 · Waiver
1170 N ESTRELLA PKWY STE A107, GOODYEAR, AZ 85338(623) 263-0105(623) 263-0105 Get Directions Write a Review

NPPES record last updated: October 5, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Omnia Women's Health Center, Pllc NPPES

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

OMNIA WOMEN'S HEALTH CENTER, PLLC (NPI 1679245807) is a healthcare organization registered as an obstetrics & gynecology in Goodyear, Arizona and active in the NPI registry since October 2021. The organization holds a CLIA Waiver certificate valid through January 10, 2028 and lists Anjulie Broderick, Owner, as its authorized official.

NPPES Registry Identity

NPI1679245807
Entity TypeOrganization
Primary Taxonomy207V00000X
Legal Business NameOMNIA WOMEN'S HEALTH CENTER, PLLC
Location Address1170 N ESTRELLA PKWY STE A107Goodyear, AZ 85338-9276
Mailing Address1170 N Estrella Pkwy Ste A107Goodyear, AZ 85338-9276 · (623) 263-0105
Phone(623) 263-0105
Fax(623) 263-0105
Organization SubpartNo
Authorized OfficialAnjulie BroderickOwner · (928) 287-7158
Enumeration DateOctober 5, 2021
NPPES CertifiedOctober 5, 2021
✔ NPI 1679245807 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
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.
1170 N ESTRELLA PKWY STE A107, Goodyear, AZ 85338
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Omnia Women's Health Center, Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

4

Medicare enrollment records show 4 clinicians reassign Medicare billing to Omnia Women's Health Center, PLLC, which bills Medicare for the services they deliver. Of these, 3 practice at this address. They are listed nearest first.

Clinicians, nearest first (4)

Laurie Allen, D.O.
Obstetrics/Gynecology
NPI 1801093794
1170 N ESTRELLA PKWY STE A107
Goodyear, AZ 85338
(623) 263-0105
✔ PECOS✔ Accepts MedicareSame address
Anjulie Broderick
Certified Nurse Midwife (CNM)
NPI 1518354927
1170 N ESTRELLA PKWY STE A107
Goodyear, AZ 85338
(623) 263-0105
✔ PECOS✔ Accepts MedicareSame address
Dominique Wilson, CNM
Certified Nurse Midwife (CNM)
NPI 1518567874
1170 N ESTRELLA PKWY STE A107
Goodyear, AZ 85338
(623) 263-0105
✔ PECOS✔ Accepts MedicareSame address
Erin Syers, DO
Obstetrics/Gynecology
NPI 1063772010
3530 S VAL VISTA DR STE 203
Gilbert, AZ 85297
(480) 821-3610
✔ PECOS✔ Accepts Medicare39 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 03D2248016

Omnia Women's Health Center · Goodyear, AZ
Active · expires Jan 10, 2028
CLIA Number03D2248016
Laboratory TypePhysician Office
Certificate Effective DateJanuary 11, 2026
Certificate Expiration DateJanuary 10, 2028
Laboratory DirectorAnjulie L. Broderick
Laboratory Phone(623) 263-0105
Laboratory LocationOmnia Women's Health Center1170 N Estrella Parkway A107, Goodyear, AZ 85338
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Omnia Women's Health Center, PLLC's NPI number?

The NPI number for Omnia Women's Health Center, PLLC is 1679245807. It was assigned to this organization in the NPPES registry on October 5, 2021.

Where is Omnia Women's Health Center, PLLC located?

Omnia Women's Health Center, PLLC is located at 1170 N Estrella Pkwy Ste A107, Goodyear, AZ 85338. The listed phone number is (623) 263-0105.

What is Omnia Women's Health Center, PLLC's specialty?

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

Is Omnia Women's Health Center, PLLC enrolled in Medicare?

Yes. Omnia Women's Health Center, PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Omnia Women's Health Center, PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians reassign their Medicare billing to Omnia Women's Health Center, PLLC, in Certified Nurse Midwife (CNM) and Obstetrics/Gynecology. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 3 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Omnia Women's Health Center, PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 03D2248016) is associated with this NPI, valid through January 10, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Omnia Women's Health Center, PLLC was last updated on October 5, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.