Estrella Pkwy Medical Center
General Practice in Goodyear, AZ. Organization (NPI-2).
NPI number1487920104
StatusActive
Last updated in NPPESMar 27, 2012
Details
- NPI
- 1487920104
- Entity type
- Organization (NPI-2)
- Legal business name
- Estrella Pkwy Medical Center
- Organization subpart
- No
- Enumeration date
- Mar 27, 2012
- Last updated
- Mar 27, 2012
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208D00000X | General Practice | 19987 | AZ | Yes |
| 111N00000X | Chiropractor | 7681 | AZ |
Practice location
530 N. Estrella PkwyC-1
Goodyear, AZ 85338-4138
Phone 623-932-9211
Mailing address
530 N. Estrella PkwyC-1
Goodyear, AZ 85338-4138
Authorized official
Brion Muscarella
Manager
6239329211
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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