DR. ZAID FADUL (NPI# 1740593797) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740593797 |
| Entity Type | Individual |
| Full Name | DR. ZAID FADUL |
| Credential | MD |
| Practice Address |
14200 W Celebrate Life Way Goodyear AZ 85338-3007 |
| Mailing Address |
Po Box 21506 Mesa AZ 85277-1506 |
| Practice Telephone | 8776534818 |
| Mailing Telephone | 2033509306 |
| Enumeration Date | 2010-07-20 |
| Last Update Date | 2019-07-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | 219-320 | WI | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | P9339 | TX | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | MD450045 | PA | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | 35.122879 | OH | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | 290033 | NY | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | 2017-01389 | NC | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | 64766 | MN | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | 4301113244 | MI | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | 036147413 | IL | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | 036147413 | GA | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | 71067 | GA | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | 51568 | CT | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | MD.37729 | AL | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | 26309 | MS | Allopathic & Osteopathic Physicians |
| Y | 207QA0401X |
Family Medicine Specialization: Addiction Medicine |
47802 | AZ | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 125 W Mcdowell Rd, Suite A, Phoenix, AZ 850031223 | 8553604673 | |
| 13170 Ravenna Rd, Ste 108, Chardon, OH 440247022 | 8553604673 | |
| 14780 W Mountain View Blvd Ste 110, Surprise, AZ 853747280 | 6233747774 | 8554206361 |
| 341 E Main St Ste A1, Tupelo, MS 388044040 | 6628074199 | |
| 7900 Airways Blvd Bldg C1, Southaven, MS 386714114 | 6628074199 |
| Street Address |
14200 W CELEBRATE LIFE WAY |
| City | GOODYEAR |
| State | AZ |
| Zip Code | 85338-3007 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386648632 | Jennifer Lou Spicer | Physician Assistant | 14200 W Celebrate Life Way, Goodyear, AZ 85338-3007 | 2005-06-01 |
| 1831714989 | Jeremy Michael Gerber | Pharmacist | 14200 W Celebrate Life Way, Goodyear, AZ 85338-3007 | 2020-06-15 |
| 1477107613 | Matthew Ryan Spenla | Anesthesiology | 14200 W Celebrate Life Way, Goodyear, AZ 85338-3007 | 2019-07-25 |
| 1366920035 | Chelsey May Mccauley | Dietitian, Registered | 14200 W Celebrate Life Way, Goodyear, AZ 85338 | 2018-08-03 |
| 1649756396 | Sara Schumacher | Dietitian, Registered | 14200 W Celebrate Life Way, Goodyear, AZ 85338-3007 | 2018-07-16 |
| 1497231369 | Samantha Peterson | Dietitian, Registered | 14200 W Celebrate Life Way, Goodyear, AZ 85338-3007 | 2018-07-13 |
| 1962864397 | Jeffrey Paulus | Anesthesiology | 14200 W Celebrate Life Way, Goodyear, AZ 85338-3007 | 2016-03-24 |
| 1346617826 | Sarah Kristofik | Genetic Counselor, MS | 14200 W Celebrate Life Way, Goodyear, AZ 85338-3007 | 2015-08-31 |
| 1972911022 | Jordan Waypa | Nurse Practitioner | 14200 W Celebrate Life Way, Goodyear, AZ 85338-3007 | 2014-07-31 |
| 1780947028 | Vishangi Dave | Internal Medicine | 14200 W Celebrate Life Way, Goodyear, AZ 85338-3007 | 2012-06-21 |
| Find all providers in the same location | ||||
| 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 | 207QA0401X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Addiction Medicine |
| A family medicine physician who specializes in the diagnosis and treatment of addictions. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) was, but is no longer issued by the American Osteopathic Board of Family Physicians. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588299176 | Arizona Healthy Clinic LLC | Family Medicine | 4344 W Indian School Rd Ste 8, Phoenix, AZ 85031-2939 | 2020-03-04 |
| 1194368852 | Relieve Medical Detox | Family Medicine | 7281 E Earll Dr Ste A4, Scottsdale, AZ 85251-7213 | 2019-10-24 |
| 1619430691 | Freedom Medical Care | Family Medicine | 5151 E Broadway Rd Ste 105, Mesa, AZ 85206-1346 | 2019-04-08 |
| 1851878508 | Rapr LLC | Family Medicine | 10632 N Scottsdale Rd Unit 482, Scottsdale, AZ 85254-6164 | 2018-07-25 |
| 1811410715 | Jacqueline M Pinlac | Family Medicine | 7830 N 23rd Ave, Phoenix, AZ 85021-6808 | 2017-07-23 |
| 1003269697 | Perla Quinones | Family Medicine | 36375 N Gantzel Rd Ste 101, San Tan Valley, AZ 85140-7334 | 2016-07-19 |
| 1245468271 | Kenneth M Levine, D.o. Ltd | Family Medicine | 2121 S Mill Ave, 114, Tempe, AZ 85282-2138 | 2009-06-29 |
| 1912166620 | Michael Denicole | Family Medicine | 2132 E Northview Ave, Phoenix, AZ 85020-5661 | 2008-06-06 |
| 1265572358 | David G Greenberg | Family Medicine | 810 W Bethany Home Rd, Phoenix, AZ 85013-1654 | 2007-02-07 |
| 1861592826 | Gail N Shultz | Family Medicine | 4110 W Sweetwater Dr, Tucson, AZ 85745-9348 | 2006-09-22 |
| Find all providers with the same taxonomy | ||||
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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.