| Nicholas Bujak Md, Pllc | |
| 
					4338 W Thomas Rd Ste 173 Phoenix AZ 85031-3878  | |
| (602) 429-2239 | |
| Not Available | 
| Full Name | Nicholas Bujak Md, Pllc | 
|---|---|
| Speciality | Obstetrics & Gynecology | 
| Location | 4338 W Thomas Rd Ste 173, Phoenix, Arizona | 
| Authorized Official Name and Position | Helen Bujak (OFFICE MANAGER) | 
| Authorized Official Contact | 6233412825 | 
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Nicholas Bujak Md, Pllc 4338 W Thomas Rd Ste 173 Phoenix AZ 85031-3878 Ph: (602) 429-2239  | Nicholas Bujak Md, Pllc 4338 W Thomas Rd Ste 173 Phoenix AZ 85031-3878 Ph: (602) 429-2239  | 
| NPI Number | 1821484171 | 
|---|---|
| Provider Enumeration Date | 04/14/2015 | 
| Last Update Date | 11/20/2024 | 
| Certification Date | 11/20/2024 | 
| Medicare PECOS PAC ID | 5294033114 | 
|---|---|
| Medicare Enrollment ID | O20160411000026 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1821484171 | NPI | - | NPPES | 
| Provider Name | Marvin L Erickson | 
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology | 
| Provider Identifiers | NPI Number: 1679569776 PECOS PAC ID: 6800887605 Enrollment ID: I20040617001536  | 
| Provider Name | Miles W Howard | 
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology | 
| Provider Identifiers | NPI Number: 1548215783 PECOS PAC ID: 8426094574 Enrollment ID: I20051101000071  | 
| Provider Name | Nicholas K Bujak | 
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology | 
| Provider Identifiers | NPI Number: 1235386731 PECOS PAC ID: 4082869953 Enrollment ID: I20130226000061  | 
| Provider Name | Charrisa Kimberly Renee Riggs | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1295144749 PECOS PAC ID: 7315243482 Enrollment ID: I20160316000307  | 
| Provider Name | Rebecca Andrus | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1972217602 PECOS PAC ID: 0648623827 Enrollment ID: I20240124003937  | 
| Provider Name | Christie Francis | 
|---|---|
| Provider Type | Practitioner - Clinical Social Worker | 
| Provider Identifiers | NPI Number: 1962854539 PECOS PAC ID: 3173968120 Enrollment ID: I20240229000583  | 
| Provider Name | Katrina Kaczmarek | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1760171243 PECOS PAC ID: 5496194623 Enrollment ID: I20240424001108  | 
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