Organization Active NPI

Goodyear Family Medicine PC

  • Primary Care Clinic/Center
  • Avondale, AZ
National Provider Identifier
1104015015
Registry record updated Feb 11, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
28344 Issued in AZ
Legal business name
GOODYEAR FAMILY MEDICINE PC
Practice address
10320 W McDowell Rd
BLDG. I, Ste.9029
Avondale, AZ 85392-4863
Phone
(623) 925-5660
Fax
(623) 932-3898
NPI assigned
Oct 16, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Kamel Sadek, M.D.
Title
Owner
Phone
(623) 925-5660

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X 28344 AZ Primary

Addresses

Primary practice location

10320 W McDowell Rd
BLDG. I, Ste.9029
Avondale, AZ 85392-4863

Mailing address

10320 W McDowell Rd
BLDG. I, Ste#9029
Avondale, AZ 85392-4863
Phone (623) 925-5660

National Provider Directory

National Provider Directory

Locations

10320 W McDowell Rd
Bldg I
Avondale, AZ 85392
Phone (623) 925-5660

10320 W McDowell Rd
Ste 9029
Avondale, AZ 85392
Phone (623) 925-5660

13677 W McDowell Rd
Ste 310
Goodyear, AZ 85395
Phone (623) 925-5660

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1192492800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1297382400000",
    "number": "1104015015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10320 W MCDOWELL RD",
            "address_2": "BLDG. I, STE#9029",
            "city": "AVONDALE",
            "state": "AZ",
            "postal_code": "853924863",
            "telephone_number": "623-925-5660",
            "fax_number": "623-932-3898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10320 W MCDOWELL RD",
            "address_2": "BLDG. I, STE.9029",
            "city": "AVONDALE",
            "state": "AZ",
            "postal_code": "853924863",
            "telephone_number": "623-925-5660",
            "fax_number": "623-932-3898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOODYEAR FAMILY MEDICINE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-16",
        "last_updated": "2011-02-11",
        "status": "A",
        "authorized_official_last_name": "SADEK",
        "authorized_official_first_name": "KAMEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "623-925-5660",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "AZ",
            "license": "28344",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Avondale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.