Estrella Internal Medicine And Pediatrics PC
Internal Medicine in Goodyear, AZ. Organization (NPI-2).
NPI number1669426565
StatusActive
Last updated in NPPESNov 13, 2008
Details
- NPI
- 1669426565
- Entity type
- Organization (NPI-2)
- Legal business name
- Estrella Internal Medicine And Pediatrics PC
- Organization subpart
- No
- Enumeration date
- May 22, 2006
- Last updated
- Nov 13, 2008
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 |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | – | – | Yes |
| 208000000X | Pediatrics | – | – |
Practice location
14541 W Indian School RoadSte 600
Goodyear, AZ 85338-9243
Phone 623-535-5599 · Fax 623-535-4696
Mailing address
14541 W Indian School RoadSte 600
Goodyear, AZ 85338-9243
Phone 623-535-5599 · Fax 623-535-4696
Authorized official
Kent M Johnson
President
6235355599
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