ESTRELLA PKWY MEDICAL CENTER (NPI# 1487920104) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1487920104 |
Entity Type | Organization |
Organization Name | ESTRELLA PKWY MEDICAL CENTER |
Practice Address |
530 N. Estrella Pkwy C-1 Goodyear AZ 85338-4138 |
Practice Telephone | 6239329211 |
Enumeration Date | 2012-03-27 |
Last Update Date | 2012-03-27 |
Authorized Official Name | BRION MUSCARELLA (MANAGER) |
Authorized Official Telephone | 6239329211 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 111N00000X | Chiropractor | 7681 | AZ | Chiropractic Providers |
Y | 208D00000X | General Practice | 19987 | AZ | Allopathic & Osteopathic Physicians |
Street Address |
530 N. ESTRELLA PKWY C-1 |
City | GOODYEAR |
State | AZ |
Zip Code | 85338-4138 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1295226884 | Caroline Chang | Dentist | 15530 W Roosevelt St Ste E106, Goodyear, AZ 85338 | 2018-05-20 |
1609376714 | Rosanna Alvarez | Licensed Practical Nurse | 17432 W Elaine Dr, Goodyear, AZ 85338 | 2018-02-15 |
1023534419 | Jennifer Elizabeth Lawrence Dixon | Social Worker | 319 N Lichfield Rd, Suite 105, Goodyear, AZ 85338 | 2017-08-17 |
1346774916 | Vanessa Castillo | Specialist/Technologist | 18035 W. Yuma Rd, Goodyear, AZ 85338 | 2017-04-20 |
1386008076 | Hope Behavioral Health Residential Care | Substance Abuse Rehabilitation Facility | 15985 W.williams Street, Goodyear, AZ 85338 | 2016-04-08 |
1952760241 | Jeremy John Abdul-haqq | Dentist | 15661 W Roosevelt St Ste 102, Goodyear, AZ 85338 | 2016-02-16 |
1417206897 | Kelly Renee Filo | Occupational Therapy Assistant | 10189 S. Hacienda Dr., Goodyear, AZ 85338 | 2012-08-31 |
1194015545 | Nancy Ann Amore | Licensed Practical Nurse | 15578 W Yuma Road, Goodyear, AZ 85338 | 2011-04-19 |
1932409208 | Chung Counihan | Pharmacist | 9890 S Estrella Parkway, Goodyear, AZ 85338 | 2010-11-02 |
1053611327 | Traven Anderson | Pharmacist | 9890 South Estrella Parkway, Goodyear, AZ 85338 | 2010-11-02 |
Find all providers in zip 85338 |
Taxonomy Code | 208D00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | General Practice |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1801181581 | Linda-michelle Ledesma | General Practice | 3328 N Litchfield Rd, Goodyear, AZ 85395-3198 | 2011-06-10 |
1124180054 | Samuel Ponce Nandin | General Practice | 13851 W La Mar Blvd, Ste C, Goodyear, AZ 85338-1389 | 2006-12-15 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.