Active NPI
Goodyear Family Medicine PC
- Primary Care Clinic/Center
- Avondale, AZ
National Provider Identifier
1104015015
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- License
- 28344
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.